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Nevada
CHAPTER 689A - INDIVIDUAL HEALTH INSURANCE
139 entries
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NRS 689A.010 Short title.
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NRS 689A.020 Scope.
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NRS 689A.030 General requirements.
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NRS 689A.032 Insurer required to offer and issue plan regardless of health status of persons; prohibited acts.
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NRS 689A.033 Insurer prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression.
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NRS 689A.035 Contracts between insurer and provider of health care: Prohibiting insurer from charging provider of health care fee for inclusion on list of providers given to insureds; insurer required to use form to obtain information on provider of health care; modification; submission by insurer of schedule of payments to provider.
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NRS 689A.040 Contents of policy; substitution of provisions; captions; omission or modification of provisions.
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NRS 689A.041 Coverage relating to mastectomy required in policy covering mastectomies; prohibited acts.
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NRS 689A.042 Policy containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception.
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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.
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NRS 689A.044 Coverage for certain tests and vaccines relating to human papillomavirus required; prohibited acts.
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NRS 689A.046 Benefits for treatment of alcohol or substance use disorder required.
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NRS 689A.048 Treatment by licensed psychologist.
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NRS 689A.049 Treatment by licensed chiropractic physician; restriction on policy limitations.
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NRS 689A.050 Entire contract; changes.
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NRS 689A.060 Time limit on certain defenses.
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NRS 689A.070 Grace period.
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NRS 689A.075 Cancellation and rescission of short-term limited duration medical plan.
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NRS 689A.080 Reinstatement.
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NRS 689A.090 Notice of claim.
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NRS 689A.100 Claim forms: Required provision.
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NRS 689A.105 Claim forms: Uniform billing and claims forms.
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NRS 689A.110 Claim forms: Proofs of loss.
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NRS 689A.120 Time of payment of claims.
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NRS 689A.130 Payment of claims.
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NRS 689A.135 Assignment of benefits by insured to provider of health care.
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NRS 689A.140 Physical examination and autopsy.
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NRS 689A.150 Legal actions.
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NRS 689A.160 Change of beneficiary.
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NRS 689A.170 Right to examine and return policy.
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NRS 689A.180 Optional provisions: Requirements; substitution of provisions; captions.
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NRS 689A.190 Extended disability benefit.
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NRS 689A.200 Change of occupation.
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NRS 689A.210 Misstatement of age.
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NRS 689A.220 Coordination of benefits: Same insurer.
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NRS 689A.230 Coordination of benefits: All coverages.
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NRS 689A.240 Relation of earnings to insurance.
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NRS 689A.250 Unpaid premiums.
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NRS 689A.260 Conformity with state statutes.
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NRS 689A.270 Illegal occupation.
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NRS 689A.290 Renewability.
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NRS 689A.300 Order of certain provisions.
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NRS 689A.310 Ownership of policy by person other than insured.
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NRS 689A.320 Requirements of other jurisdictions.
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NRS 689A.330 Policies issued for delivery in another state.
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NRS 689A.340 Limitation on provisions not subject to chapter; effect of violation of chapter; conflict among provisions.
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NRS 689A.350 Age limit.
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NRS 689A.380 Definitions of terms used in policies.
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NRS 689A.0403 Procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations.
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NRS 689A.0404 Coverage for use of certain drugs and related services for treatment of cancer required in certain policies.
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NRS 689A.405 Policy covering prescription drugs: Provision of notice and information regarding use of formulary.
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NRS 689A.0405 Coverage for certain screenings and tests for breast cancer required; prohibited acts.
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NRS 689A.410 Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements; imposition of administrative fine or suspension or revocation of certificate of authority for failure to comply; report of compliance by insurer.
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NRS 689A.0412 Coverage for examination of person who is pregnant for certain diseases required.
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NRS 689A.0413 Coverage for certain gynecological or obstetrical services without authorization or referral from primary care physician required; designation of obstetrician or gynecologist as primary care physician.
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NRS 689A.413 Insurer prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence.
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NRS 689A.0415 Coverage for hormone replacement therapy in certain circumstances required in policy covering prescription drugs or devices; prohibited acts; exception.
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NRS 689A.415 Insurer prohibited from denying coverage solely because applicant or insured was intoxicated or under influence of controlled substance; exceptions.
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NRS 689A.0417 Coverage for health care services related to hormone replacement therapy required in policy covering outpatient care; prohibited acts.
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NRS 689A.417 Insurer prohibited from requiring or using information concerning genetic testing; exceptions.
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NRS 689A.0418 Coverage for drug or device for contraception and related health services required; prohibited acts; exceptions.
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NRS 689A.419 Offering policy of health insurance for purposes of establishing health savings account.
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NRS 689A.0419 Coverage for certain services, screenings and tests relating to wellness required; prohibited acts.
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NRS 689A.420 Definitions.
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NRS 689A.0423 Coverage for treatment of certain inherited metabolic diseases required.
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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.
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NRS 689A.0427 Coverage for management and treatment of diabetes required in policy covering hospital, medical or surgical expenses.
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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.
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NRS 689A.430 Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
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NRS 689A.0432 Coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence required; restriction on refusal to cover certain treatments; authority of insurer to prescribe requirements for covering surgical treatments for minors; determination of medical necessity.
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NRS 689A.0434 Coverage for habilitative speech-language pathology and rehabilitative speech-language pathology as treatment for stuttering for certain persons required; prohibited acts.
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NRS 689A.0435 Option of coverage for autism spectrum disorders for certain persons required; prohibited acts.
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NRS 689A.0437 Coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C required; reimbursement of certain providers of health care for certain services; prohibited acts.
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NRS 689A.0438 Coverage for testing, treatment and prevention of sexually transmitted diseases required; coverage for condoms for certain insureds required.
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NRS 689A.440 Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
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NRS 689A.0445 Coverage for prostate cancer screening.
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NRS 689A.0446 Coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer required in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to request for prior authorization.
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NRS 689A.0447 Policy covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy.
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NRS 689A.450 Certain accommodations required to be made when child is covered under policy of noncustodial parent.
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NRS 689A.0455 Coverage for treatment of conditions relating to severe mental illness required.
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NRS 689A.0459 Coverage for certain drugs and services related to substance use disorder and opioid use disorder required; reimbursement of pharmacists and pharmacies for certain services; prohibited acts.
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NRS 689A.460 Insurer required to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child.
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NRS 689A.0463 Coverage for services provided through telehealth required to same extent as though provided in person or by other means; reimbursement for certain services provided through telehealth required in same amount as though provided in person or by other means; prohibited acts.
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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.
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NRS 689A.0465 Policy prohibited from excluding coverage of treatment of temporomandibular joint; exception.
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NRS 689A.470 Definitions.
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NRS 689A.0475 Acupuncture.
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NRS 689A.0483 Treatment by licensed marriage and family therapist or licensed clinical professional counselor.
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NRS 689A.485 “Bona fide association” defined.
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NRS 689A.0485 Treatment by licensed associate in social work, social worker, master social worker, independent social worker or clinical social worker.
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NRS 689A.0487 Treatment by licensed podiatrist.
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NRS 689A.0493 Treatment by licensed clinical alcohol and drug counselor.
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NRS 689A.495 “Control” defined.
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NRS 689A.0495 Services provided by certain registered nurses.
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NRS 689A.0497 Provider of medical transportation.
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NRS 689A.505 “Creditable coverage” defined.
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NRS 689A.510 “Dependent” defined.
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NRS 689A.525 “Geographic rating area” defined.
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NRS 689A.527 “Geographic service area” defined.
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NRS 689A.535 “Group health plan” defined.
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NRS 689A.540 “Health benefit plan” defined.
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NRS 689A.550 “Individual carrier” defined.
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NRS 689A.555 “Individual health benefit plan” defined.
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NRS 689A.570 “Plan for coverage of a bona fide association” defined.
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NRS 689A.580 “Plan sponsor” defined.
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NRS 689A.590 “Producer” defined.
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NRS 689A.600 “Provision for a restricted network” defined.
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NRS 689A.615 Certain plan, fund or program to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner.
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NRS 689A.630 Requirement to renew coverage at option of individual; exceptions; discontinuation of product; discontinuation of health benefit plan available through bona fide association.
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NRS 689A.635 Coverage offered through network plan not required to be offered to person who does not reside or work in geographic service area or geographic rating area.
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NRS 689A.637 Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers.
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NRS 689A.696 Information and documents required to be made available to Commissioner; proprietary information.
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NRS 689A.700 Regulations regarding rates.
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NRS 689A.705 Regulations concerning reissuance of health benefit plan.
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NRS 689A.710 Prohibited acts; denial of application for coverage; regulations; violation may constitute unfair trade practice; applicability of section.
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NRS 689A.715 Requirements for employee welfare benefit plan for providing benefits for employees of more than one employer.
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NRS 689A.717 Individual health benefit plan covering maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth; prohibited acts.
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NRS 689A.720 Written certification of coverage required for determining period of creditable coverage accumulated by person; provision of certificate to insured.
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NRS 689A.725 Requirements for plan for coverage.
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NRS 689A.740 Regulations.
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NRS 689A.745 Establishment; approval; requirements; examination; exception.
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NRS 689A.750 Annual report; insurer required to maintain records of and report complaints concerning something other than health care services.
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NRS 689A.755 Written notice required to be provided by insurer to insured explaining right to file complaint; written notice to insured and provider of health care required when insurer denies coverage of health care service.
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NRS 689A.04032 Construction of provisions requiring certain coverage by policy of health insurance.
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NRS 689A.04033 Coverage for certain treatment received as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome required; authority of insurer to require certain information; immunity from liability.
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NRS 689A.04036 Coverage for continued medical treatment required in certain policies; exceptions; regulations.
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NRS 689A.04041 Policy covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Insurer required to allow insured or attending practitioner to apply for exemption from step therapy protocol in certain circumstances; procedure for applying for and granting exemption.
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NRS 689A.04042 Coverage for colorectal cancer screening required in policy covering treatment of colorectal cancer.
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NRS 689A.04043 Policy covering prescription drug for treatment of medical condition that is part of step therapy protocol: Use of certain guidelines required; establishment of process to request exemption from step therapy protocol; granting of request; applicability of provisions.
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NRS 689A.04044 Policy covering prescription drugs: Required actions by insurer related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared.
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NRS 689A.04045 Policy covering prescription drugs prohibited from limiting or excluding coverage for prescription drug previously approved for medical condition of insured; exception.
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NRS 689A.04046 Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications required in policy covering prescription drugs; prohibited acts; exception.
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NRS 689A.04047 Policy covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products.
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NRS 689A.04048 Policy covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances.
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NRS 689A.04049 Coverage for screening, genetic counseling and testing related to BRCA gene required in certain circumstances.
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NRS 689A.04195 Coverage for procedure or service for preservation of fertility required in certain circumstances; exemption. [Effective January 1, 2027.]
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NRS 689A.04645 Coverage for dental service provided by qualified dental hygienist required in certain circumstances.
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NRS 689A.040425 Coverage for screening for lung cancer required in policy providing coverage for treatment of lung cancer.
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NRS 689A.040485 Limitation on cost-sharing obligation for insulin covered by policy covering prescription insulin drugs.