(215 ILCS 134/43)
Utilization of health care facilities.
(a) A health care plan must provide its enrollees with a description of
their rights and responsibilities in obtaining referrals to and making
appropriate use of health care facilities when access to their primary care
physician is not readily available.
(b) Nothing in this Section is intended to affect the rights of enrollees or
relieve a health care plan of its responsibilities with respect to the
provision of and coverage of emergency services or treatment of an emergency
medical condition, as those terms are defined by this Act, and as those
responsibilities and rights are otherwise provided under this Act, especially
Section 65 of this Act.
(Source: P.A. 93-540, eff. 8-18-03.)