LegalFix
Sign In

NRS 689C.350 - Health benefit plan with preferred providers of health care: Deductible; when service is deemed to be provided by preferred provider.

NV Rev Stat § 689C.350 (2019) (N/A)
Copy with citation
Copy as parenthetical citation

A health benefit plan which offers a difference of payment between preferred providers of health care and providers of health care who are not preferred:

1. Must require that the deductible and payment for coinsurance paid by the insured to a preferred provider of health care be applied to the negotiated reduced rates of that provider.

2. Must provide that if there is a particular service which a preferred provider of health care does not provide and the provider of health care who is treating the insured requests the service and the insurer determines that the use of the service is necessary for the health of the insured, the service shall be deemed to be provided by the preferred provider of health care.

(Added to NRS by 1995, 987; A 2013, 3634; 2017, 2374)

Previous Section
NRS 689C.325 - Coverage offered through network plan not required to be offered to eligible employee who does not reside or work in geographic service area or if carrier lacks capacity to deliver adequate service to additional employers and employees.
Next Section
NRS 689C.355 - Prohibited acts of carrier or producer; denial of application for coverage; violation may constitute unfair trade practice; applicability of section.