Section 354. Preferred provider organizations; medical treatment  


Latest version.
  • 1. Each
      preferred provider organization shall provide at least two providers  in
      every  medical specialty from which the employee may choose and at least
      two hospitals from which the employee  may  choose  in  the  event  that
      hospitalization  is necessary. The commissioner of health may waive such
      numerical requirements upon a finding  that  the  geographical  area  in
      which  the  preferred  provider  organization is located cannot meet the
      requirements.
        2. An employee may seek medical treatment from outside  the  preferred
      provider  organization  thirty  days  after  his or her first visit to a
      preferred  provider  organization  provider.  In  the  event  that  such
      employee   seeks   medical  treatment  outside  the  preferred  provider
      organization the employer may require a second opinion from  a  provider
      within the preferred provider organization.
        3.  An employee may seek a second opinion with respect to such medical
      treatment  from  another  provider   within   the   preferred   provider
      organization at any time.