NRS 689B.0379
Required provision concerning coverage for treatment of temporomandibular joint.

1.

Except as otherwise provided in this section, no policy of group health insurance may be delivered or issued for delivery in this state if it contains an exclusion of coverage of the treatment of the temporomandibular joint whether by specific language in the policy or by a claims settlement practice. A policy may exclude coverage of those methods of treatment which are recognized as dental procedures, including, but not limited to, the extraction of teeth and the application of orthodontic devices and splints.

2.

The insurer may limit its liability on the treatment of the temporomandibular joint to:

(a)

No more than 50 percent of the usual and customary charges for such treatment actually received by an insured, but in no case more than 50 percent of the maximum benefits provided by the policy for such treatment; and

(b)

Treatment which is medically necessary.

3.

Any provision of a policy subject to the provisions of this chapter and issued or delivered on or after January 1, 1990, which is in conflict with this section is void.
Reimbursement and Payment

Source: Section 689B.0379 — Required provision concerning coverage for treatment of temporomandibular joint., https://www.­leg.­state.­nv.­us/NRS/NRS-689B.­html#NRS689BSec0379.

689B.030
Required provisions. 689B.031
Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician. 689B.033
Required provision concerning coverage for newly born and adopted children and children placed for adoption. 689B.034
Required provision concerning effect of benefits under other valid group coverage 689B.035
Required provision concerning termination of coverage on dependent child. 689B.0303
Required provision concerning coverage for continued medical treatment. 689B.0306
Required provision concerning coverage for treatment received as part of clinical trial or study. 689B.0313
Required coverage for certain tests and vaccines relating to human papillomavirus 689B.0317
Required provision concerning coverage for prostate cancer screening. 689B.0335
Required provision concerning coverage for autism spectrum disorders. 689B.0345
Required provision concerning coverage for employee or member on leave without pay as result of total disability. 689B.0353
Required provision concerning coverage for treatment of certain inherited metabolic diseases. 689B.0357
Required provision concerning coverage for management and treatment of diabetes. 689B.0358
Required provision concerning coverage for management and treatment of sickle cell disease. 689B.0362
Required provision concerning coverage for orally administered chemotherapy. 689B.0365
Required provision concerning coverage for use of certain drugs for treatment of cancer. 689B.0367
Required provision concerning coverage for screening for colorectal cancer. 689B.0368
Required provision concerning coverage for prescription drug previously approved for medical condition of insured. 689B.0369
Required provision concerning coverage for services provided through telehealth. 689B.0374
Required provision concerning coverage for mammograms for certain women 689B.0375
Required provision concerning coverage relating to mastectomy. 689B.0376
Policy covering prescription drugs or devices to provide coverage of hormone replacement therapy in certain circumstances 689B.0377
Policy covering outpatient care to provide coverage for health care services related to hormone replacement therapy 689B.0378
Required provision concerning coverage for drug or device for contraception and related health services 689B.0379
Required provision concerning coverage for treatment of temporomandibular joint. 689B.03762
Policy covering prescription drugs to provide coverage for drugs irregularly dispensed for purpose of synchronization of chronic medications. 689B.03764
Policy covering prescription drugs to provide coverage for early refills of topical ophthalmic products. 689B.03766
Policy covering maternity care must not deny coverage for gestational carrier 689B.03785
Required provisions concerning coverage for certain services, screenings and tests relating to wellness
Last Updated

Feb. 5, 2021

§ 689B.0379’s source at nv​.us