Section 59A-46-38.5 – Hearing aid coverage for children required.
A. An individual or group health maintenance organization contract delivered, issued for delivery or renewed in this state shall provide coverage for a hearing aid and any related service for the full cost of one hearing aid per hearing-impaired ear up to two thousand two hundred dollars ($2,200) every thirty-six months for hearing aids for […]
Section 59A-46-39 – Maternity transport required.
All individual and group health maintenance organization contracts delivered or issued for delivery in this state which provide maternity coverage shall also provide, where necessary to protect the life of the infant or mother, coverage for transportation, including air transport, for the medically high-risk pregnant woman with an impending delivery of a potentially viable infant […]
Section 59A-46-40 – Home health care service option required.
A. Each health maintenance organization which delivers or issues for delivery in this state an individual or group contract shall make available to the contract holder the option of home health care coverage which includes benefits for the services described in this section. B. Home health care coverage offered shall include: (1) services provided by […]
Section 59A-46-41 – Coverage for mammograms.
A. Each individual and group health maintenance organization contract delivered or issued for delivery in this state shall provide coverage for low-dose screening mammograms for determining the presence of breast cancer. Such coverage shall make available one baseline mammogram to persons age thirty-five through thirty-nine, one mammogram biennially to persons age forty through forty-nine and […]
Section 59A-46-41.1 – Mastectomies and lymph node dissection; minimum hospital stay coverage required.
A. Each individual and group health maintenance contract delivered or issued for delivery in this state shall provide coverage for not less than forty-eight hours of inpatient care following a mastectomy and not less than twenty-four hours of inpatient care following a lymph node dissection for the treatment of breast cancer. B. Nothing in this […]
Section 59A-46-32.1 – Recompiled.
ANNOTATIONS Recompilations. — Laws 1993, ch. 266, § 31, recompiled 59A-46-32.1 NMSA 1978, as enacted by Laws 1989, ch. 96, § 2, relating to prohibition of acupuncture practitioner discrimination, as 59A-46-36 NMSA 1978, effective January 1, 1994.
Section 59A-46-33 – Governing body.
The governing body of any health maintenance organization may include providers or other individuals, or both. Such governing body shall establish a mechanism to afford the enrollees an opportunity to participate in matters of policy and operation through the establishment of advisory panels, by the use of advisory referenda on major policy decisions or through […]
Section 59A-46-34 – Prohibited practices.
A. No health maintenance organization, or representative thereof, may cause or knowingly permit the use of advertising which is untrue or misleading, solicitation which is untrue or misleading, or any form of evidence of coverage which is deceptive. For purposes of this article: (1) a statement or item of information is deemed to be untrue […]
Section 59A-46-35 – Provider discrimination prohibited.
No class of licensed individual providers willing to meet the terms and conditions offered by a health maintenance organization shall be excluded from a health maintenance organization. For purposes of this section, “providers” means those persons licensed pursuant to: A. the Optometry Act [Chapter 61, Article 2 NMSA 1978]; B. Section 61-3-23.2 NMSA 1978; C. […]
Section 59A-46-36 – Doctor of oriental medicine; discrimination prohibited.
Doctors of oriental medicine as a class of licensed providers willing to meet the terms and conditions offered by a health maintenance organization shall not be excluded from a health maintenance organization and shall not be discriminated against relative to other classes of licensed providers regarding services provided within their scope of practice that are […]