Florida Statute 627.638 | Lawyer Caselaw & Research

The 2024 Florida Statutes

Title XXXVII
INSURANCE

Chapter 627
INSURANCE RATES AND CONTRACTS

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F.S. 627.638

627.638 Direct payment for hospital, medical services.—

(1) Any health insurance policy insuring against loss or expense due to hospital confinement or to medical and related services may provide for payment of benefits directly to any recognized hospital, licensed ambulance provider, doctor, or other person who provided the services, in accordance with the provisions of the policy. To comply with this section, the words “or to the hospital, licensed ambulance provider, doctor, or person rendering services covered by this policy,” or similar words appropriate to the terms of the policy, shall be added to applicable provisions of the policy.

(2) Whenever, in any health insurance claim form, an insured specifically authorizes payment of benefits directly to any recognized hospital, licensed ambulance provider, physician, dentist, or other person who provided the services in accordance with the provisions of the policy, the insurer shall make such payment to the designated provider of such services. The insurance contract may not prohibit, and claims forms must provide an option for, the payment of benefits directly to a licensed hospital, licensed ambulance provider, physician, dentist, or other person who provided the services in accordance with the provisions of the policy for care provided. The insurer may require written attestation of assignment of benefits. Payment to the provider from the insurer may not be more than the amount that the insurer would otherwise have paid without the assignment.

(3) Any insurer who has contracted with a preferred provider, as defined in s. 627.6471(1)(b), for the delivery of health care services to its insureds shall make payments directly to the preferred provider for such services.

History.—s. 581, ch. 59-205; s. 3, ch. 76-168; s. 1, ch. 77-457; ss. 2, 3, ch. 81-318; ss. 487, 497, 809(2nd), ch. 82-243; s. 79, ch. 82-386; s. 1, ch. 85-160; s. 114, ch. 92-318; s. 4, ch. 2005-231; s. 2, ch. 2008-212; ss. 1, 2, ch. 2009-124.

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Amendments to 627.638

Arrestable Offenses / Crimes under Fla. Stat. 627.638

Level: Degree
Misdemeanor/Felony: First/Second/Third

Current data shows no reason an arrest or criminal charge should have occurred directly under Florida Statute 627.638.

Annotations, Discussions, Cases:

Cases Citing Statute 627.638

Total Results: 8

John Gray v. Agency for Health Care Administration

Court: District Court of Appeal of Florida | Date Filed: 2019-09-03

Snippet: the end of the matter.” Wos v. E.M.A., 568 U.S. 627, 638 (2013). 2 But

Security First Insurance Co. v. State, Office of Insurance Regulation

Court: District Court of Appeal of Florida | Date Filed: 2015-06-22

Citation: 177 So. 3d 627, 2015 Fla. App. LEXIS 9445, 2015 WL 3824166

Snippet: insurance contracts.” 955 So.2d at 1143 (citing § 627.638(2), Fla. Stat. (2005)). The Fourth District recognized

ABRAHAM K. KOHL, DC v. Blue Cross

Court: District Court of Appeal of Florida | Date Filed: 2007-03-21

Citation: 955 So. 2d 1140, 2007 WL 837176

Snippet: benefits and health insurance contracts. See § 627.638(2), Fla. Stat. (2005)("Whenever, in any health

Pennsylvania Blue Shield v. Wolfe

Court: District Court of Appeal of Florida | Date Filed: 1991-03-12

Citation: 575 So. 2d 1361, 1991 Fla. App. LEXIS 2101, 1991 WL 31819

Snippet: DCA), review denied, 482 So.2d 347 (Fla.1985); § 627.638, Fla.Stat. (1989). With regard to the specific

Napoleon B. Broward Drainage District v. Certain Lands

Court: Supreme Court of Florida | Date Filed: 1948-02-06

Citation: 33 So. 2d 716, 160 Fla. 120, 1948 Fla. LEXIS 622

Snippet: void. Fiehe v. R. E. Householder Co., 98 Fla. 627, 638, 125 So. 2; Fidelity Deposit Co. v. Hogan, 102

Dupree v. Elleman

Court: Supreme Court of Florida | Date Filed: 1939-07-21

Citation: 191 So. 65, 139 Fla. 809, 1939 Fla. LEXIS 1737

Snippet: 175 So. 526; and Fiehe v. Householder, 98 Fla. 627, 638, 125 So. 2. I think therefore that the petition

State Ex Rel. Everette v. Petteway

Court: Supreme Court of Florida | Date Filed: 1938-02-22

Citation: 179 So. 666, 131 Fla. 516

Snippet: 88 N.E. 734. Fiehe v. Householder Co., 98 Fla. 627, 638, 125 So. 2. A finding of the court first granting

Fisher v. Guidy

Court: Supreme Court of Florida | Date Filed: 1932-07-07

Citation: 142 So. 818, 106 Fla. 94

Snippet: void. Fiehe vs. R. E. Householder Co. 98 Fla. 627, 638, 125 So.2d 2; Fidelity Deposit Co. vs. Hogan