Montana § 33-2-2206 - Membership Agreement -- Contents

§ 33-2-2206. Membership Agreement -- Contents

Membership agreement -- contents. A membership agreement issued under this part must contain: (1) the effective dates of the membership agreement; (2) a grace period of 30 days for payment of a renewal membership fee; (3) a description of what constitutes acceptable insurance coverage if eligibility for the membership agreement is conditioned on the member's current and continuing health insurance coverage; (4) a statement that, except for decisions made as provided in 33-1-102 (6), individuals enrolled in medicare, medicaid, or the healthy Montana kids plan under Title 53, chapter 4, part 11, are not subject to charges billed by a private air ambulance service in excess of applicable deductibles, coinsurance, and copayments; (5) a statement that the membership agreement is an insurance contract; (6) a description and graphic illustration of the base locations and effective coverage area of the private air ambulance service; (7) a list of other private air ambulance services with which reciprocity exists under 50-6-320 ; (8) a statement that: (a) participation in a membership program does not guarantee that in the event of a transport, the private air ambulance service will provide the transport; and (b) unless reciprocity exists under 50-6-320 , if another private air ambulance service provides the transport, the individual will not receive the benefits provided under the membership agreement; and (9) a definition of "medical necessity" if membership coverage of a transport is conditioned on a finding of medical necessity.