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Nev. Rev. Stat. § 689B.031

Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician

Nevada · Nevada Revised Statutes Chapter 689B — Group and Blanket Health Insurance · Status: effective

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Nev. Rev. Stat. § 689B.031, Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care physician, Nevada, version 1 as recorded 2026-10-03, yourstate.us, https://yourstate.us/provision/2147755
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1. A policy of group health insurance must include a provision authorizing a woman covered by the policy to: (a) Obtain covered gynecological or obstetrical services without first receiving authorization or a referral from her primary care physician. (b) Designate as her primary care physician an obstetrician or gynecologist who: (1) Participates in the network plan of the insurer; (2) Satisfies the criteria established by the insurer for designation as a primary care provider under the policy of group health insurance; and (3) Agrees to abide by all terms and conditions imposed by the insurer on other primary care physicians generally. 2. A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2026, has the legal effect of including the coverage required by this section, and any provision of the policy or the renewal which is in conflict with this section is void. 3. As used in this section: (a) “Network plan” means a policy of group health insurance offered by an insurer 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 insurer. The term does not include an arrangement for the financing of premiums. (b) “Primary care physician” has the meaning ascribed to it in NRS 695G.060.