Section 59A-46-50.1 – Coverage for orally administered anticancer medications; limits on patient costs.
A. An individual or group health maintenance organization contract that is delivered, issued for delivery or renewed in this state and that provides coverage for cancer treatment shall provide coverage for a prescribed, orally administered anticancer medication that is used to kill or slow the growth of cancerous cells on a basis no less favorable […]
Section 59A-46-50.2 – Coverage of prescription eye drop refills.
A. An individual or group health maintenance organization 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 thirty-day […]
Section 59A-46-50.3 – Coverage for telemedicine services.
A. An individual or group health maintenance organization 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 contract covers the same services when those services are provided via in-person consultation or contact. A carrier shall not impose any […]
Section 59A-46-50.4 – Prescription drugs; prohibited formulary changes; notice requirements.
A. As of January 1, 2014, an individual or group health maintenance organization contract 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 the following changes to coverage for a […]
Section 59A-46-50.5 – Heart artery calcium scan coverage.
A. A group health maintenance organization contract, other than a small group health maintenance organization contract, that is delivered, issued for delivery or renewed in this state shall provide coverage for eligible enrollees to receive a heart artery calcium scan. B. Coverage provided pursuant to this section shall: (1) be limited to the provision of […]
Section 59A-46-42 – Coverage for cytologic and human papillomavirus screening.
A. Each individual and group health maintenance organization contract delivered or issued for delivery in this state shall provide coverage for cytologic and human papillomavirus screening to determine the presence of precancerous or cancerous conditions and other health problems. The coverage shall make available cytologic screening, as determined by the health care provider in accordance […]
Section 59A-46-42.1 – Coverage for the human papillomavirus vaccine.
A. An individual or group health maintenance organization contract delivered, issued for delivery or renewed in this state shall provide coverage for the human papillomavirus vaccine in accordance with the current standards of the federal centers for disease control and prevention. B. Coverage for the human papillomavirus vaccine may be subject to deductibles and coinsurance […]
Section 59A-46-43 – Coverage for individuals with diabetes.
A. Each individual and group health maintenance organization contract delivered or issued for delivery in this state shall provide coverage for individuals with insulin-using diabetes, with non-insulin-using diabetes and with elevated blood glucose levels induced by pregnancy. This coverage shall be a basic health care service and shall entitle each individual to the medically accepted […]
Section 59A-46-43.2 – Coverage for medical diets for genetic inborn errors of metabolism.
As of July 1, 2003, each health maintenance organization that delivers or issues for delivery in the state an individual or group contract shall provide coverage for the treatment of genetic inborn errors of metabolism as set forth in Chapter 59A, Article 22 NMSA 1978. History: Laws 2003, ch. 192, § 2. ANNOTATIONS Effective dates. […]
Section 59A-46-44 – Coverage for contraception.
A. Each individual and group health maintenance organization contract 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 by the federal food and drug administration; […]