§ 6901. Definitions.
The following words and phrases when used in this chapter
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
"Health care benefit plan." An insurance policy, contract or
plan that provides health care to participants or beneficiaries
directly or through insurance, reimbursement or otherwise.
"Health care payer." An individual or entity that is
responsible for providing or paying for all or part of the cost
of health care services covered by a health care benefit plan.
The term includes an entity subject to any of the following:
(1) Chapter 61 (relating to hospital plan corporations)
or 63 (relating to professional health services plan
corporations).
(2) The act of May 17, 1921 (P.L.682, No.284), known as
The Insurance Company Law of 1921, including:
(i) a preferred provider organization subject to
section 630 of The Insurance Company Law of 1921; or
(ii) a fraternal benefit society subject to Article
XXIV of The Insurance Company Law of 1921.
(3) The act of December 29, 1972 (P.L.1701, No.364),
known as the Health Maintenance Organization Act.
(4) An agreement by a self-insured employer or self-
insured multiple employer trust to provide health care
benefits to employees and their dependents.
§ 6902. Discrimination against willing providers prohibited.
A health care payer shall be required to contract with and to
accept as a health care benefit plan participant any willing
provider of health care services. A health care payer may not
discriminate against a provider of health care services which:
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