(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.