# S.D. Codified Laws § 58-17H-8: Cost-sharing requirements for covered persons--Payments to out-of-network providers

> South Dakota · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-8

## Section

- **Citation:** S.D. Codified Laws § 58-17H-8
- **Heading:** Cost-sharing requirements for covered persons--Payments to out-of-network providers
- **Jurisdiction:** South Dakota
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** SD Code / Title 58 / Chapter 17H / Section 58-17H-8

## Text

Notwithstanding § 58-17H-7 , a covered person may be required to pay, in addition to the in-network cost-sharing, the excess of the amount the out-of-network provider charges over the amount the health carrier is required to pay pursuant to this section.

A health carrier complies with the requirements of this section if it provides payment of emergency services provided by an out-of-network provider in an amount not less than the greatest of the following:

(1) The amount negotiated with in-network providers for emergency services, excluding any in-network copayment or coinsurance imposed with respect to the covered person;

(2) The amount of the emergency service calculated using the same method the plan uses to determine payments for out-of-network services, but using the in-network cost-sharing provisions instead of the out-of-network cost-sharing provisions; or

(3) The amount that would be paid under Medicare for the emergency services, excluding any in-network copayment or coinsurance requirements.

Source: SL 2011, ch 219, § 33.

## Nearby sections

- [S.D. Codified Laws § 58-17H-1 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-1.md)
- [S.D. Codified Laws § 58-17H-2 Health benefit plan defined](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-2.md)
- [S.D. Codified Laws § 58-17H-3 Urgent care request defined](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-3.md)
- [S.D. Codified Laws § 58-17H-4 Applicability of chapter](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-4.md)
- [S.D. Codified Laws § 58-17H-5 Health carrier to provide emergency services coverage without requiring prior authorization--Standards for coverage of emergency services](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-5.md)
- [S.D. Codified Laws § 58-17H-6 In-network emergency services](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-6.md)
- [S.D. Codified Laws § 58-17H-7 Cost-sharing requirements for out-of-network emergency services](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-7.md)
- [S.D. Codified Laws § 58-17H-8 Cost-sharing requirements for covered persons--Payments to out-of-network providers](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-8.md)
- [S.D. Codified Laws § 58-17H-9 Exceptions for payments by capitated and other plans without negotiated fees](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-9.md)
- [S.D. Codified Laws § 58-17H-10 Negotiated amounts for in-network providers for a particular emergency service](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-10.md)
- [S.D. Codified Laws § 58-17H-11 General cost-sharing requirements allowed](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-11.md)
- [S.D. Codified Laws § 58-17H-12 Access to representative for post-evaluation or post-stabilization services](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-12.md)
- [S.D. Codified Laws § 58-17H-13 Health carrier may be deemed to meet emergency medical coverage requirements if met by private accrediting body](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-13.md)
- [S.D. Codified Laws § 58-17H-14 Health carrier responsibility for utilization review activities](https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_SD_T58_C17H_S58-17H-8. Check the current official text before relying on it. Not legal advice.