NRS 689A.0447
Coverage for orally administered chemotherapy.


1.

An insurer that offers or issues a policy of health insurance which provides coverage for the treatment of cancer through the use of chemotherapy shall not:

(a)

Require a copayment, deductible or coinsurance amount for chemotherapy administered orally by means of a prescription drug in a combined amount that is more than $100 per prescription. The limitation on the amount of the deductible that may be required pursuant to this paragraph does not apply to a health benefit plan, as defined in NRS 687B.470, if the health benefit plan is a high deductible health plan, as defined in 26 U.S.C. § 223, and the amount of the annual deductible has not been satisfied.

(b)

Make the coverage subject to monetary limits that are less favorable for chemotherapy administered orally by means of a prescription drug than the monetary limits applicable to chemotherapy which is administered by injection or intravenously.

(c)

Decrease the monetary limits applicable to chemotherapy administered orally by means of a prescription drug or to chemotherapy which is administered by injection or intravenously to meet the requirements of this section.

2.

A policy subject to the provisions of this chapter which provides coverage for the treatment of cancer through the use of chemotherapy and that is delivered, issued for delivery or renewed on or after January 1, 2015, has the legal effect of providing that coverage subject to the requirements of this section, and any provision of the policy or renewal which is in conflict with this section is void.

3.

Nothing in this section shall be construed as requiring an insurer to provide coverage for the treatment of cancer through the use of chemotherapy administered by injection or intravenously or administered orally by means of a prescription drug.

Source: Section 689A.0447 — Coverage for orally administered chemotherapy., https://www.­leg.­state.­nv.­us/NRS/NRS-689A.­html#NRS689ASec0447.

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

Feb. 5, 2021

§ 689A.0447’s source at nv​.us