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Code · Nevada · CHAPTER 695G - MANAGED CARE

NRS 695G.1714 Required provision concerning coverage for examination of person who is pregnant for certain diseases.

266 words·~1 min read·/nv/chapter-695g-managed-care/695g-1714·

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NRS 695G.1714 Required provision concerning coverage for examination of person who is pregnant for certain diseases.
1. A managed care organization that issues a health care plan shall provide coverage for the examination of a person who is pregnant for the discovery of:
(a)Chlamydia trachomatis , gonorrhea, hepatitis B and hepatitis C in accordance with NRS 442.013 .
(b)Syphilis in accordance with NRS 442.010 .
2. The coverage required by this section must be provided:
(a)Regardless of whether the benefits are provided to the insured by a provider of health care, facility or medical laboratory that participates in the network plan of the managed care organization; and
(b)Without prior authorization.
3. A health care plan subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after July 1, 2021, has the legal effect of including the coverage required by subsection 1, and any provision of the plan that conflicts with the provisions of this section is void.
4. As used in this section:
(a)“Medical laboratory” has the meaning ascribed to it in NRS 652.060 .
(b)“Network plan” means a health care plan offered by a managed care organization under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the managed care organization. The term does not include an arrangement for the financing of premiums.
(c)“Provider of health care” has the meaning ascribed to it in NRS 629.031 .
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