Alabama § 27-57-5 - Coverage by Participating Providers; Selection Criteria and Utilization Protocols; Maximum Benefits, Exclusions, Etc.
Full text of Alabama Code of Alabama § 27-57-5 — Coverage by Participating Providers; Selection Criteria and Utilization Protocols; Maximum Benefits, Exclusions, Etc., with citation guidance and answers to common questions.
§ 27-57-5. Coverage by Participating Providers; Selection Criteria and Utilization Protocols; Maximum Benefits, Exclusions, Etc.
(a) This chapter does not require and shall not be construed to require the coverage of services of providers who are not designated as covered providers, or who are not selected as a participating provider, by a group health benefit plan or insurer having a participating network of service providers. Nothing in this chapter is intended to expand the list or designation of participating providers as specified in any health benefit plan.
(b) Insurers or other issuers of any health benefit plan covered by this chapter shall continue to be able to establish and apply selection criteria and utilization protocols for health care providers including the designation of types of providers for which coverage is provided as well as credentialing criteria used in the selection of providers.
(c) A group health benefit plan, policy, or contract that provides coverage for the services to be offered pursuant to this chapter may contain provisions for maximum benefits and coinsurance limitations, deductibles, exclusions, and utilization review protocols to the extent that these provisions are not inconsistent with the requirements of this chapter.
Source: official Alabama text · Last verified 2026-08-27
Frequently Asked Questions About Alabama § 27-57-5
What does Code of Alabama § 27-57-5 cover?
Section 27-57-5 ("Coverage by Participating Providers; Selection Criteria and Utilization Protocols; Maximum Benefits, Exclusions, Etc.") is part of the Code of Alabama, the codified statutory law of Alabama. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Alabama § 27-57-5?
A common citation format is "Code of Alabama § 27-57-5" (Alabama). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Alabama law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Alabama official source linked on this page or consult a licensed Alabama attorney.
How does Alabama § 27-57-5 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Alabama can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Alabama.