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Florida Statute 627.638 | Lawyer Caselaw & Research
F.S. 627.638 Case Law from Google Scholar
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Link to State of Florida Official Statute Google Search for Amendments to 627.638

The 2023 Florida Statutes (including Special Session C)

Title XXXVII
INSURANCE
Chapter 627
INSURANCE RATES AND CONTRACTS
View Entire Chapter
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.

F.S. 627.638 on Google Scholar

F.S. 627.638 on Casetext

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 from cite.case.law:

SECURITY FIRST INSURANCE COMPANY, v. STATE OFFICE OF INSURANCE REGULATION,, 177 So. 3d 627 (Fla. Dist. Ct. App. 2015)

. . . assignment of both health insurance benefits and health insurance contracts.” 955 So.2d at 1143 (citing § 627.638 . . .

ABRAHAM K. KOHL, D. C. Dr. K. P. A. d b a v. BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC., 955 So. 2d 1140 (Fla. Dist. Ct. App. 2007)

. . . See § 627.638(2), Fla. . . .

PENNSYLVANIA BLUE SHIELD, v. S. WOLFE,, 575 So. 2d 1361 (Fla. Dist. Ct. App. 1991)

. . . Olson, 468 So.2d 266 (Fla. 2d DCA), review denied, 482 So.2d 347 (Fla.1985); § 627.638, Fla.Stat. (1989 . . .