Louisiana § RS 40:2232 - Rights of each enrollee
Full text of Louisiana Louisiana Civil Code § RS 40:2232 — Rights of each enrollee, with citation guidance and answers to common questions.
§ RS 40:2232. Rights of each enrollee
A. Each enrollee shall have the right to courteous treatment, timely referral and access to specialty care, reasonable choice of providers as provided in the basic benefit plan, and confidential communications with caregivers as provided by law.
B. Any qualified plan shall provide to an enrollee or prospective enrollee information, orally or in writing, using understandable, objective, truthful, and consumer-tested terms, about the policy or plan prepared in a manner understandable at a fifth grade reading level and reviewed and approved by the literacy program of the Louisiana State University Health Sciences Center in Shreveport, including:
(1) The range of covered benefits, highlighting restrictions or limitations on basic services, specialty care, prescription drugs and biologics, "experimental" treatments, and the use of providers outside a plan's provider network.
(2) The amount of deductibles, copayments, and other potential out-of-pocket expenses.
(3) The cost of proposed services and fully itemized bills for services rendered.
(4) The expertise of available providers on specific diseases and disorders if a plan has a provider network.
(5) How "medically necessary" treatment is defined.
(6) How and whether coverage decisions can be fairly and simply appealed.
(7) The criteria for selecting and dismissing physicians if a plan has a provider network.
(8) Potential conflicts of interest or economic incentives on the part of providers which may influence care decisions.
Acts 1995, No. 1212, §1, eff. June 29, 1995; Acts 1999, No. 802, §5, eff. July 2, 1999.
Source: official Louisiana text · Last verified 2026-08-27
Frequently Asked Questions About Louisiana § RS 40:2232
What does Louisiana Civil Code § RS 40:2232 cover?
Section RS 40:2232 ("Rights of each enrollee") is part of the Louisiana Civil Code, the codified statutory law of Louisiana. 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 Louisiana § RS 40:2232?
A common citation format is "Louisiana Civil Code § RS 40:2232" (Louisiana). 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 Louisiana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Louisiana official source linked on this page or consult a licensed Louisiana attorney.
How does Louisiana § RS 40:2232 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Louisiana 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 Louisiana.