Ohio § 1753.13

§ 1753.13.

Every individual or group health insuring corporation policy, contract, or agreement

that provides basic health care services but does not allow direct access to obstetricians

or gynecologists shall permit a female enrollee to obtain covered obstetric and gynecological

services from a participating obstetrician or gynecologist without obtaining a referral

from the enrollee's primary care provider. No individual or group health insuring corporation policy, contract, or agreement

may limit the number of allowable visits to a participating obstetrician or gynecologist.  A health insuring corporation may require a participating obstetrician or gynecologist

to comply with the health insuring corporation's coverage protocols and procedures,

including utilization review, for obstetric and gynecological services. A health insuring corporation policy, contract, or agreement may not impose additional

copayments for directly accessed obstetric and gynecological services, unless the

policy, contract, or agreement imposes additional copayments for direct access to

any participating provider other than a primary care provider.