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A-29 - Health Insurance Act

Section 12
Disposition versions

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12. An insured person is also entitled to exact from the Board payment of the cost of the insured services furnished to him in Québec by a professional who has withdrawn or by a professional contemplated in section 30, upon presentation of a fee statement form provided for that purpose by the Board, provided that the Board has obtained from such insured person or from the professional concerned the information it needs to justify the payment claimed.
He is not entitled to exact more than the amount which would have been paid by the Board for such services to a professional who is subject to the application of an agreement.
The Board must, when considering a statement of fees submitted under this section, apply all rules relating to remuneration provided for under the relevant agreement as if payment were made directly to the professional in the field of health.
1970, c. 38, s. 3; 1979, c. 1, s. 9; 1989, c. 50, s. 13; 1991, c. 42, s. 562; 1999, c. 89, s. 42; 2007, c. 21, s. 22; 2016, c. 28, s. 37.
12. An insured person is also entitled to exact from the Board payment of the cost of the insured services furnished to him in Québec by a professional who has withdrawn or by a professional contemplated in section 30, upon presentation of a fee statement form provided for that purpose by the Board, the content of which is in conformity with the regulations, provided that the Board has obtained from such insured person or from the professional concerned the information it needs to justify the payment claimed.
He is not entitled to exact more than the amount which would have been paid by the Board for such services to a professional who is subject to the application of an agreement.
The Board must, when considering a statement of fees submitted under this section, apply all rules relating to remuneration provided for under the relevant agreement as if payment were made directly to the professional in the field of health.
1970, c. 38, s. 3; 1979, c. 1, s. 9; 1989, c. 50, s. 13; 1991, c. 42, s. 562; 1999, c. 89, s. 42; 2007, c. 21, s. 22.
12. An insured person is also entitled to exact from the Board payment of the cost of the insured services furnished to him in Québec by a professional who has withdrawn or by a professional contemplated in section 30, upon presentation of a statement of fees the form of which is accepted by the Board and the content of which is in conformity with the regulations, provided that the Board has obtained from such insured person or from the professional concerned the information it needs to justify the payment claimed.
He is not entitled to exact more than the amount which would have been paid by the Board for such services to a professional who is subject to the application of an agreement.
The Board must, when considering a statement of fees submitted under this section, apply all rules relating to remuneration provided for under the relevant agreement as if payment were made directly to the professional in the field of health.
1970, c. 38, s. 3; 1979, c. 1, s. 9; 1989, c. 50, s. 13; 1991, c. 42, s. 562; 1999, c. 89, s. 42.
12. A beneficiary is also entitled to exact from the Board payment of the cost of the insured services furnished to him in Québec by a professional who has withdrawn or by a professional contemplated in section 30, upon presentation of a statement of fees the form of which is accepted by the Board and the content of which is in conformity with the regulations, provided that the Board has obtained from such beneficiary or from the professional concerned the information it needs to justify the payment claimed.
He is not entitled to exact more than the amount which would have been paid by the Board for such services to a professional who is subject to the application of an agreement.
The Board must, when considering a statement of fees submitted under this section, apply all rules relating to remuneration provided for under the relevant agreement as if payment were made directly to the professional in the field of health.
1970, c. 38, s. 3; 1979, c. 1, s. 9; 1989, c. 50, s. 13; 1991, c. 42, s. 562.
12. A beneficiary is also entitled to exact from the Board payment of the cost of the insured services furnished to him in Québec by a professional who has withdrawn or by a professional contemplated in section 30, upon presentation of a statement of fees the form of which is accepted by the Board and the content of which is in conformity with the regulations, provided that the Board has obtained from such beneficiary or from the professional concerned the information it needs to justify the payment claimed.
He is not entitled to exact more than the amount which would have been paid by the Board for such services to a professional who is subject to the application of an agreement.
1970, c. 38, s. 3; 1979, c. 1, s. 9; 1989, c. 50, s. 13.
12. A beneficiary is also entitled to exact from the Board payment of the cost of the insured services furnished to him in Québec by a professional who has withdrawn or by a professional contemplated in section 30, upon presentation of a statement of fees prescribed in accordance with section 72, provided that the Board has obtained from such beneficiary or from the professional concerned the information it needs to justify the payment claimed.
He is not entitled to exact more than the amount which would have been paid by the Board for such services to a professional who is subject to the application of an agreement.
1970, c. 38, s. 3; 1979, c. 1, s. 9.
12. A resident of Québec shall also be entitled to exact from the Board payment of the cost of the insured services furnished to him in Québec by a professional who has withdrawn, upon presentation of a statement of fees prescribed in accordance with section 72, provided that the Board has obtained from such person or from the professional concerned the information it needs to justify the payment claimed.
He is not entitled to exact more than the amount which would have been paid by the Board for such services to a professional subject to the application of an agreement.
1970, c. 38, s. 3.
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