O.C.G.A. § 33-30-25 (2019)
Reasonable limits on number or classes of preferred providers
Subject to the approval of the Commissioner under such procedures as he may develop, health care insurers may place reasonable limits on the number or classes of preferred providers which satisfy the standards set forth by the health care insurer, provided that there be no discrimination against providers on the basis of religion, race, color, national origin, age, sex, or marital or corporate status, and provided, further, that all health care providers within any defined service area who are licensed and qualified to render the services covered by the preferred provider arrangement and who satisfy the standards set forth by the health care insurer shall be given the opportunity to apply and to become a preferred provider.
History
Code 1981, § 33-30-25, enacted by Ga. L. 1988, p. 1483, § 1.
Annotations
JUDICIAL DECISIONS Approval of Insurance Commissioner to limit providers. - Applying the ‘‘Any Willing Provider’’ (AWP) statute to a health insurer did not conflict with O.C.G.A. § 33-30-25 because that statute required the approval of the Insurance Commissioner to limit providers in pre-
ferred provider arrangements. Northeast Ga. Cancer Care, LLC v. Blue Cross & Blue Shield of Ga., Inc., 315 Ga. App. 521, 726 S.E.2d 714 (2012), cert. denied, No. S12C1322, 2012 Ga. LEXIS 1018 (Ga. 2012), cert. denied, No. S12C1413, 2012 Ga. LEXIS 1033 (Ga. 2012).