(c) The coverage required under this Section may be subject to any limitations, exclusions, or cost-sharing provisions that apply generally under the insurance policy.
(d) This Section does not apply to a policy that covers only dental care.
(e) Nothing in this Section requires that the dental services be covered.
(f) The provisions of this Section do not apply to short-term travel, accident-only, limited, or specified disease policies, nor to policies or contracts designed for issuance to persons eligible for coverage under Title XVIII of the Social Security Act, known as Medicare, or any other similar coverage under State or federal governmental plans.
(Source: P.A. 92-764, eff. 1/ 1 /2003.)
Sec. 3. As used in this Act, unless the
context otherwise requires, the following words and phrases shall
have the meanings ascribed to them:
(A) "Ambulatory surgical treatment center"
means any institution, place or building devoted primarily to the
maintenance and operation of facilities for the performance of
surgical procedures or any facility in which a medical or surgical
procedure is utilized to terminate a pregnancy, irrespective of
whether the facility is devoted primarily to this purpose. Such
facility shall not provide beds or other accommodations for the
overnight stay of patients; however, facilities devoted
exclusively to the treatment of children may provide
accommodations and beds for their patients for up to 23 hours
following admission. Individual patients shall be discharged in an
ambulatory condition without danger to the continued well being of
the patients or shall be transferred to a hospital.
The term "ambulatory surgical treatment
center" does not include any of the following:
(1) Any institution,
place, building or agency required to be licensed pursuant to the
"Hospital Licensing Act", approved July 1, 1953, as amended.
(2) Any person or
institution required to be licensed pursuant to the "Nursing Home
Care Act", approved August 23, 1979, as amended.
(3) Hospitals or
ambulatory surgical treatment centers maintained by the State or
any department or agency thereof, where such department or agency
has authority under law to establish and enforce standards for the
hospitals or ambulatory surgical treatment centers under its
management and control.
(4) Hospitals or
ambulatory surgical treatment centers maintained by the Federal
Government or agencies thereof.
(5) Any place,
agency, clinic, or practice, public or private, whether organized
for profit or not, devoted exclusively to the performance of
dental or oral surgical procedures.