NRS 689A.042 – Policy containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception.

1. No health insurance policy may be delivered or issued for delivery in this state if it contains any exclusion, reduction or other limitation of coverage relating to complications of pregnancy, unless the provision applies generally to all benefits payable under the policy. 2. As used in this section, the term “complications of pregnancy” includes […]

NRS 689A.0423 – Coverage for treatment of certain inherited metabolic diseases required.

1. A policy of health insurance must provide coverage for: (a) Enteral formulas for use at home that are prescribed or ordered by a physician as medically necessary for the treatment of inherited metabolic diseases characterized by deficient metabolism, or malabsorption originating from congenital defects or defects arising shortly after birth, of amino acid, organic […]

NRS 689A.0424 – Policy covering maternity care: Prohibited acts by insurer if insured is acting as gestational carrier; child deemed child of intended parent for purposes of policy.

1. An insurer that offers or issues a policy of health insurance that includes coverage for maternity care shall not deny, limit or seek reimbursement for maternity care because the insured is acting as a gestational carrier. 2. If an insured acts as a gestational carrier, the child shall be deemed to be a child […]

NRS 689A.0425 – Individual health benefit plan that includes coverage for maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth; prohibited acts.

[Replaced in revision by NRS 689A.717.]

NRS 689A.0427 – Coverage for management and treatment of diabetes required in policy covering hospital, medical or surgical expenses.

1. No policy of health insurance that provides coverage for hospital, medical or surgical expenses may be delivered or issued for delivery in this state unless the policy includes coverage for the management and treatment of diabetes, including, without limitation, coverage for the self-management of diabetes. 2. An insurer who delivers or issues for delivery […]

NRS 689A.0428 – Coverage for management and treatment of sickle cell disease and its variants required; coverage for medically necessary prescription drugs to treat sickle cell disease and its variants required by plan covering prescription drugs.

1. An insurer that issues a policy of health insurance shall include in the policy coverage for: (a) Necessary case management services for an insured diagnosed with sickle cell disease and its variants; and (b) Medically necessary care for an insured who has been diagnosed with sickle cell disease and its variants. 2. An insurer […]

NRS 689A.043 – Policy covering family on expense-incurred basis required to include certain coverage for insured’s newly born and adopted children and children placed with insured for adoption.

1. All individual health insurance policies providing family coverage on an expense-incurred basis must as to family members’ coverage provide that the health benefits applicable for children are payable with respect to: (a) A newly born child of the insured from the moment of birth; (b) An adopted child from the date the adoption becomes […]

NRS 689A.0435 – Option of coverage for autism spectrum disorders for certain persons required; prohibited acts.

1. A health benefit plan must provide an option of coverage for screening for and diagnosis of autism spectrum disorders and for treatment of autism spectrum disorders for persons covered by the policy under the age of 18 years or, if enrolled in high school, until the person reaches the age of 22 years. 2. […]

NRS 689A.0437 – Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus required; reimbursement of pharmacist for certain services.

1. An insurer that offers or issues a policy of health insurance shall include in the policy coverage for: (a) Drugs approved by the United States Food and Drug Administration for preventing the acquisition of human immunodeficiency virus; (b) Laboratory testing that is necessary for therapy that uses such a drug; and (c) The services […]

NRS 689A.044 – Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts.

1. A policy of health insurance must provide coverage for benefits payable for expenses incurred for: (a) Deoxyribonucleic acid testing for high-risk strains of human papillomavirus every 3 years for women 30 years of age or older; and (b) Administering the human papillomavirus vaccine as recommended for vaccination by a competent authority, including, without limitation, […]

NRS 689A.0445 – Coverage for prostate cancer screening.

1. A policy of health insurance that provides coverage for the treatment of prostate cancer must provide coverage for prostate cancer screening in accordance with: (a) The guidelines concerning prostate cancer screening which are published by the American Cancer Society; or (b) Other guidelines or reports concerning prostate cancer screening which are published by nationally […]

NRS 689A.0447 – Policy covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy.

1. An insurer that offers or issues a policy of health insurance which provides coverage for the treatment of cancer through the use of chemotherapy shall not: (a) Require a copayment, deductible or coinsurance amount for chemotherapy administered orally by means of a prescription drug in a combined amount that is more than $100 per […]

NRS 689A.0455 – Coverage for treatment of conditions relating to severe mental illness required.

1. A policy of health insurance delivered or issued for delivery in this state pursuant to this chapter must provide coverage for the treatment of conditions relating to severe mental illness. 2. As used in this section, “severe mental illness” means any of the following mental illnesses that are biologically based and for which diagnostic […]

NRS 689A.046 – Benefits for treatment of alcohol or substance use disorder required.

1. The benefits provided by a policy for health insurance for treatment of alcohol or substance use disorder must consist of: (a) Treatment for withdrawal from the physiological effect of alcohol or drugs, with a minimum benefit of $1,500 per calendar year. (b) Treatment for a patient admitted to a facility, with a minimum benefit […]

NRS 689A.0463 – Coverage for services provided through telehealth required to same extent and in same amount as though provided in person or by other means; exception; prohibited acts. [Effective through 1 year after the date on which the Governor terminates the emergency described in the Declaration of Emergency for COVID-19 issued on March 12, 2020, if the Governor terminates that emergency before July 1, 2022, or June 29, 2023, if the Governor terminates that emergency on or after July 1, 2022.] Coverage for services provided through telehealth required to same extent and in same amount as though provided in person or by other means; exception; prohibited acts. [Effective on the date 1 year after the date on which the Governor terminates the emergency described in the Declaration of Emergency for COVID-19 issued on March 12, 2020, and through June 30, 2023, only if the Governor terminates that emergency before July 1, 2022.] Coverage for services provided through telehealth required to same extent as though provided in person or by other means; prohibited acts. [Effective July 1, 2023, only if the Governor terminates the emergency described in the Declaration of Emergency for COVID-19 issued on March 12, 2020, before July 1, 2022.] Coverage for services provided through telehealth required to same extent as though provided in person or by other means; prohibited acts. [Effective June 30, 2023, only if the Governor terminates the emergency described in the Declaration of Emergency for COVID-19 issued on March 12, 2020, on or after July 1, 2022.]

1. A policy of health insurance must include coverage for services provided to an insured through telehealth to the same extent and, except for services provided through audio-only interaction, in the same amount as though provided in person or by other means. 2. An insurer shall not: (a) Require an insured to establish a relationship […]

NRS 689A.0464 – Policy covering anatomical gifts, organ transplants or treatments or services related to organ transplants: Prohibited acts by insurer if insured is person with disability.

1. An insurer that offers or issues a policy of health insurance that includes coverage for anatomical gifts, organ transplants or treatments or services related to an organ transplant shall not: (a) Deny, limit or seek reimbursement from an insured for care related to an organ transplant because the insured is a person with a […]

NRS 689A.0465 – Policy prohibited from excluding coverage of treatment of temporomandibular joint; exception.

1. Except as otherwise provided in this section, no policy of health insurance may be delivered or issued for delivery in this state if it contains an exclusion of coverage of treatment of the temporomandibular joint whether by specific language in the policy or by a claims settlement practice. A policy may exclude coverage of […]