NRS 695G.170
Required provision concerning coverage for medically necessary emergency services

  • prohibitions.

1.

Each managed care organization shall provide coverage for medically necessary emergency services provided at any hospital.

2.

A managed care organization shall not require prior authorization for medically necessary emergency services.

3.

As used in this section, “medically necessary emergency services” means health care services that are provided to an insured by a provider of health care after the sudden onset of a medical condition that manifests itself by symptoms of such sufficient severity that a prudent person would believe that the absence of immediate medical attention could result in:

(a)

Serious jeopardy to the health of an insured;

(b)

Serious jeopardy to the health of an unborn child;

(c)

Serious impairment of a bodily function; or

(d)

Serious dysfunction of any bodily organ or part.

4.

A health care plan subject to the provisions of this section that is delivered, issued for delivery or renewed on or after October 1, 1999, has the legal effect of including the coverage required by this section, and any provision of the plan or the renewal which is in conflict with this section is void.

Source: Section 695G.170 — Required provision concerning coverage for medically necessary emergency services; prohibitions., https://www.­leg.­state.­nv.­us/NRS/NRS-695G.­html#NRS695GSec170.

695G.150
Authorization of recommended and covered health care services required. 695G.155
Requirements regarding issuance of health benefit plans and adjustment of costs. 695G.160
Written criteria concerning coverage of health care services and standards for quality of health care services. 695G.162
Required provision concerning coverage for services provided through telehealth. 695G.163
Coverage for prescription drugs: Provision of notice and information regarding use of formulary. 695G.164
Required provision concerning coverage for continued medical treatment. 695G.166
Required provision concerning coverage for prescription drug previously approved for medical condition of insured. 695G.167
Required provision concerning coverage for orally administered chemotherapy. 695G.168
Required provision concerning coverage for screening for colorectal cancer. 695G.170
Required provision concerning coverage for medically necessary emergency services 695G.171
Required provision concerning coverage for certain tests and vaccines relating to human papillomavirus 695G.172
Required provision concerning coverage for early refills of topical ophthalmic products. 695G.173
Required provision concerning coverage for treatment received as part of clinical trial or study. 695G.174
Required provision concerning coverage for management and treatment of sickle cell disease. 695G.175
Certain actions of managed care organization prohibited. 695G.177
Required provision concerning coverage for prostate cancer screening. 695G.1645
Required provision concerning coverage for autism spectrum disorders. 695G.1665
Required provision concerning coverage for prescription drugs irregularly dispensed for purpose of the synchronization of chronic medications. 695G.1713
Required provision concerning coverage for mammograms for certain women 695G.1715
Required provision concerning coverage for drug or device for contraception and related health services 695G.1716
Health care plan that includes coverage for maternity care must not deny coverage for gestational carrier 695G.1717
Coverage for certain services, screenings and tests relating to wellness
Last Updated

Jun. 24, 2021

§ 695G.170’s source at nv​.us