§ 695B.1901 Required provision in certain policies concerning coverage for continued medical treatment; exceptions; regulations
§ 695B.1903 Required provision concerning coverage for certain treatment as part of clinical trial or study for treatment of cancer or chronic fatigue syndrome; authority of corporation to require certain information; immunity from liability
§ 695B.1904 Required provision concerning coverage for services provided through telehealth to same extent as though provided in person or by other means; required provision concerning reimbursement for certain services provided through telehealth in same amoun
§ 695B.19045 Policy covering prescription drugs: Required actions by corporation related to acquisition of prescription drugs for certain insureds residing in area for which emergency or disaster has been declared
§ 695B.19046 Policy covering prescription drugs: Submission to step therapy protocol for drug to treat psychiatric condition prohibited in certain circumstances
§ 695B.19047 Policy covering prescription drug for medical condition that is part of step therapy protocol: Use of certain guidelines required; establishment of process to request exemption from step therapy protocol required; granting of request; applicability of
§ 695B.1905 Contract covering prescription drugs prohibited from limiting or excluding coverage for certain prescription drugs previously approved for medical condition of insured; exceptions
§ 695B.1906 Required provision in policy covering prescription drugs concerning coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications; prohibited acts; exception
§ 695B.1907 Required provision in policy covering treatment of colorectal cancer concerning coverage for colorectal cancer screening
§ 695B.1908 Required provision in certain contracts concerning coverage for certain drugs and related services for treatment of cancer
§ 695B.19085 Policy covering prescription drug for treatment of cancer or cancer symptom that is part of step therapy protocol: Corporation required to allow insured or attending practitioner to apply exemption from step therapy protocol in certain circumstances;
§ 695B.19087 Required provision concerning coverage for biomarker testing for diagnosis, treatment, management and monitoring of cancer in certain circumstances; establishment of process to request exception or appeal denial of coverage; time for responding to req
§ 695B.1909 Contract covering treatment of cancer through use of chemotherapy: Prohibited acts related to orally administered chemotherapy
§ 695B.191 Required provision in policy covering mastectomies concerning coverage relating to mastectomy; prohibited acts
§ 695B.1911 Required provision concerning coverage for screening, genetic counseling and testing related to BRCA gene in certain circumstances
§ 695B.1912 Required provision concerning coverage for certain screenings and tests for breast cancer; prohibited acts
§ 695B.1913 Required provision concerning coverage for examination of person who is pregnant for certain diseases
§ 695B.1914 Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician
§ 695B.1915 Required provision concerning coverage for medically necessary treatment of conditions relating to gender dysphoria and gender incongruence; restriction on refusal to cover certain treatments; authority of corporation to prescribe requirements for c
§ 695B.1916 Required provision in contract covering prescription drugs or devices concerning coverage of hormone replacement therapy in certain circumstances; prohibited acts; exception
§ 695B.1918 Required provision in contract covering outpatient care concerning coverage of health care services related to hormone replacement therapy; prohibited acts
§ 695B.1919 Required provision concerning coverage for drug or device for contraception and related health services; prohibited acts; exceptions
§ 695B.19195 Required provision concerning coverage for certain services, screenings and tests relating to wellness; prohibited acts
§ 695B.19197 Required provision concerning coverage for certain drugs and services related to substance use disorder and opioid use disorder; reimbursement of pharmacists and pharmacies for certain services; prohibited acts
§ 695B.192 Contract containing exclusion, reduction or limitation of coverage relating to complications of pregnancy prohibited; exception
§ 695B.1923 Required provision concerning coverage for treatment of certain inherited metabolic diseases
§ 695B.1924 Required provision concerning coverage for drugs, laboratory testing and certain services related to human immunodeficiency virus and hepatitis C; reimbursement of certain providers of health care for certain services; prohibited acts
§ 695B.1925 Required provision concerning coverage for certain tests and vaccines relating to human papillomavirus; prohibited acts
§ 695B.1926 Required provision concerning coverage for testing, treatment and prevention of sexually transmitted diseases; required provision concerning coverage for condoms for certain insureds
§ 695B.1927 Required provision in contract covering hospital, medical or surgical expenses concerning coverage for management and treatment of diabetes
§ 695B.1929 Required provision of coverage for management and treatment of sickle cell disease and its variants; policy covering prescription drugs required to provide coverage for medically necessary prescription drugs to treat sickle cell disease and its vari
§ 695B.193 Contract covering family member of subscriber required to include certain coverage for subscriber’s newly born and adopted children and children placed with subscriber for adoption
§ 695B.1931 Contract prohibited from excluding coverage relating to treatment of temporomandibular joint; exception
§ 695B.1932 Policy covering prescription drugs: Denial of coverage prohibited for early refills of otherwise covered topical ophthalmic products
§ 695B.1942 Required provision in contract covering treatment of prostate cancer concerning coverage for prostate cancer screening; prohibited act
§ 695B.1944 Required provision in certain group contracts concerning continuing coverage for employee or member on leave without pay as result of total disability
§ 695B.1948 Contract covering maternity care: Prohibited acts by insurer if insured is acting as gestational carrier; child deemed child of intended parent for purposes of contract
§ 695B.1949 Contract 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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Terms Used In Nevada Revised Statutes > Chapter 695B > Contracts > Coverage

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Bequest: Property gifted by will.
  • Contract: A legal written agreement that becomes binding when signed.
  • controlled substance: means a drug, immediate precursor or other substance which is listed in schedule I, II, III, IV or V for control by the State Board of Pharmacy pursuant to Nevada Revised Statutes 0.031
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • county: includes Carson City. See Nevada Revised Statutes 0.033
  • Dental services: means general and special dental services ordinarily provided by dentists licensed under the provisions of chapter 631 of NRS to practice in the State of Nevada in accordance with the generally accepted practices of the community at the time the service is rendered, and the furnishing of necessary appliances, drugs, medicines and supplies, prosthetic appliances, orthodontic appliances, metal, ceramic and other restorations. See Nevada Revised Statutes 695B.030
  • Dependent: A person dependent for support upon another.
  • Devise: To gift property by will.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Medical services: means the furnishing or providing of any or all of the following:

    (a) Medical or surgical services, in or out of a hospital, by a physician licensed to practice under the laws of Nevada. See Nevada Revised Statutes 695B.030

  • person: means a natural person, any form of business or social organization and any other nongovernmental legal entity including, but not limited to, a corporation, partnership, association, trust or unincorporated organization. See Nevada Revised Statutes 0.039
  • physician: means a person who engages in the practice of medicine, including osteopathy and homeopathy. See Nevada Revised Statutes 0.040
  • population: means the number of people in a specified area as determined by the last preceding national decennial census conducted by the Bureau of the Census of the United States Department of Commerce pursuant to Section 2 of Nevada Revised Statutes 0.050
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.