Section 59A-23-7.11 – Coverage of prescription eye drop refills.
A. A blanket or group health insurance policy or contract that is delivered, issued for delivery or renewed in this state and that provides coverage for prescription eye drops shall not deny coverage for a renewal of prescription eye drops when: (1) the renewal is requested by the insured at least twenty-three days for a […]
Section 59A-23-16 – Behavioral health services; elimination of cost sharing. (Effective January 1, 2022.)
A. Until January 1, 2027, a group or blanket health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state that offers coverage of behavioral health services shall not impose cost sharing on those behavioral health services. B. For the purposes of this section: […]
Section 59A-23-7.12 – Coverage for telemedicine services.
A. A blanket or group health insurance policy or contract that is delivered, issued for delivery or renewed in this state shall provide coverage for services provided via telemedicine to the same extent that the health insurance plan, policy or contract covers the same services when those services are provided via in-person consultation or contact. […]
Section 59A-23-7.13 – Prescription drugs; prohibited formulary changes; notice requirements.
A. As of January 1, 2014, an individual or group health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state and that provides prescription drug benefits categorized or tiered for purposes of cost-sharing through deductibles or coinsurance obligations shall not make any of […]
Section 59A-23-7.14 – Coverage for contraception.
A. Each individual and group health insurance policy, health care plan and certificate of health insurance delivered or issued for delivery in this state that provides a prescription drug benefit shall provide, at a minimum, the following coverage: (1) at least one product or form of contraception in each of the contraceptive method categories identified […]
Section 59A-23-7.15 – Coverage exclusion. (Contingent repeal. See note.)
Coverage of vasectomy and male condoms pursuant to Section 5 [59A-23-7.14 NMSA 1978] of this 2019 act is excluded for high-deductible individual or group health insurance policies, health care plans or certificates of insurance with health savings accounts delivered or issued for delivery in this state until an insured’s deductible has been met. History: Laws […]
Section 59A-23-7.16 – Heart artery calcium scan coverage.
A. A group health plan, other than a small group health plan or a blanket health insurance policy or contract that is delivered, issued for delivery or renewed in this state shall provide coverage for eligible insureds to receive a heart artery calcium scan. B. Coverage provided pursuant to this section shall: (1) be limited […]
Section 59A-23-8 – Group formed to purchase health insurance; limitations.
A. No policy or certificate of group health insurance may be renewed, delivered or issued for delivery in this state to a group formed for the purpose of purchasing one or more policies of group health insurance unless the superintendent has approved the issuance. The superintendent shall not grant his approval unless he finds that: […]
Section 59A-23-9 – Repealed.
History: Laws 1997, ch. 243, § 20; repealed by Laws 2021, ch. 108, § 37. ANNOTATIONS Repeals. — Laws 2021, ch. 108, § 37 repealed 59A-23-9 NMSA 1978, as enacted by Laws 1997, ch. 243, § 20, relating to out-of-state associations and trusts, effective July 1, 2021. For provisions of former section, see the 2020 […]
Section 59A-23-10 – Employer utilization and loss data availability.
Claims information, including utilization and loss experience under health insurance provided under Chapter 59A, Article 23 NMSA 1978 shall be made available only upon the request of and to employers of employees with such coverage within sixty days of an employer’s written request for such information, provided the employer’s coverage extends to no less than […]