NRS 689A.0423
Coverage for treatment of certain inherited metabolic diseases.

1.

A policy of health insurance must provide coverage for:

(a)

Enteral formulas for use at home that are prescribed or ordered by a physician as medically necessary for the treatment of inherited metabolic diseases characterized by deficient metabolism, or malabsorption originating from congenital defects or defects arising shortly after birth, of amino acid, organic acid, carbohydrate or fat; and

(b)

At least $2,500 per year for special food products which are prescribed or ordered by a physician as medically necessary for the treatment of a person described in paragraph (a).

2.

The coverage required by subsection 1 must be provided whether or not the condition existed when the policy was purchased.

3.

A policy subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 1998, 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.

4.

As used in this section:

(a)

“Inherited metabolic disease” means a disease caused by an inherited abnormality of the body chemistry of a person.

(b)

“Special food product” means a food product that is specially formulated to have less than one gram of protein per serving and is intended to be consumed under the direction of a physician for the dietary treatment of an inherited metabolic disease. The term does not include a food that is naturally low in protein.

Source: Section 689A.0423 — Coverage for treatment of certain inherited metabolic diseases., https://www.­leg.­state.­nv.­us/NRS/NRS-689A.­html#NRS689ASec0423.

689A.040
Contents of policy 689A.041
Coverage relating to mastectomy. 689A.042
Coverage relating to complications of pregnancy. 689A.043
Coverage of newly born and adopted children and children placed for adoption. 689A.044
Required coverage for certain tests and vaccines relating to human papillomavirus 689A.046
Benefits for treatment of alcohol or substance use disorder. 689A.0403
Procedure for arbitration of disputes concerning independent medical, dental or chiropractic evaluations. 689A.0404
Coverage for use of certain drugs for treatment of cancer. 689A.0405
Coverage for mammograms for certain women 689A.0413
Coverage for certain gynecological or obstetrical services without authorization or referral from primary care physician. 689A.0415
Coverage for hormone replacement therapy in certain circumstances 689A.0417
Coverage for health care services related to hormone replacement therapy in certain circumstances 689A.0418
Coverage for drug or device for contraception and related health services 689A.0419
Coverage for certain services, screenings and tests relating to wellness 689A.0423
Coverage for treatment of certain inherited metabolic diseases. 689A.0424
Policy that includes coverage for maternity care must not deny coverage for gestational carrier 689A.0425
Individual health benefit plan that includes coverage for maternity care and pediatric care: Requirement to allow minimum stay in hospital in connection with childbirth 689A.0427
Coverage for management and treatment of diabetes. 689A.0428
Coverage for management and treatment of sickle cell disease. 689A.0435
Coverage for autism spectrum disorders. 689A.0445
Coverage for prostate cancer screening. 689A.0447
Coverage for orally administered chemotherapy. 689A.0455
Coverage for treatment of conditions relating to severe mental illness. 689A.0463
Coverage for services provided through telehealth 689A.0465
Coverage of treatment of temporomandibular joint. 689A.04033
Coverage for treatment received as part of clinical trial or study. 689A.04036
Coverage for continued medical treatment. 689A.04042
Coverage for screening for colorectal cancer. 689A.04045
Coverage for prescription drug previously approved for medical condition of insured. 689A.04046
Coverage for prescription drugs irregularly dispensed for purpose of synchronization of chronic medications. 689A.04047
Coverage for early refills of topical ophthalmic products.
Last Updated

Jun. 24, 2021

§ 689A.0423’s source at nv​.us