Nevada Revised Statutes (Last Updated: December 24, 2014) |
TITLE57 INSURANCE |
CHAPTER695G. Managed Care |
EXTERNAL REVIEW OF ADVERSE DETERMINATION |
NRS695G.243. Applicability.
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1. Except as otherwise provided in subsection 2, the provisions of NRS 695G.200 to 695G.310, inclusive, apply to all health carriers.
2. The provisions of subsection 1 do not apply to:
(a) A policy or certificate that provides only coverage for:
(1) A specified disease or accident;
(2) Accidents;
(3) Credit;
(4) Dental;
(5) Disability income;
(6) Hospital indemnity;
(7) Long-term care insurance;
(8) Vision care; or
(9) Any other limited supplemental benefit;
(b) A Medicare supplement policy of insurance, as defined in regulations adopted by the Commissioner;
(c) Coverage under a plan through Medicare, Medicaid or the Federal Employees Health Benefits Program, FEHBP, 5 U.S.C. §§ 8901 et seq.;
(d) Any coverage issued under the Civilian Health and Medical Program of the Uniformed Services, CHAMPUS, 10 U.S.C. §§ 1071 et seq., and any coverage issued as supplemental to that coverage;
(e) Any coverage issued as supplemental to liability insurance;
(f) Workers’ compensation or similar insurance;
(g) Automobile medical payment insurance; or
(h) Any insurance under which benefits are payable with or without regard to fault, whether written on a group, blanket or individual basis.
(Added to NRS by 2011, 3399)