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Accident and Sickness Insurance. | Midpage
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West Virginia Code
Chapter 33
15
Accident and Sickness Insurance.
33-15-1
Scope of article.
33-15-1a
Premium rate increase requests; loss ratio requirement.
33-15-1b
Rates, individual major medical policies.
33-15-2
Scope and format of policy.
33-15-2a
Definitions.
33-15-2b
Guaranteed issue; limitation of coverage; election; denial of coverage; network plans.
33-15-2c
Feasibility study for alternatives to guaranteed issue.
33-15-2d
Exceptions to guaranteed renewability.
33-15-2e
Discontinuation of particular type of coverage; uniform termination of all coverage; uniform modification of coverage.
33-15-2f
Certification of creditable coverage.
33-15-2g
Applicability.
33-15-3
Age limit.
33-15-4
Required policy provisions.
33-15-4a
Required policy provisions-mental illness.
33-15-4b
Policies to cover nursing services; definition.
33-15-4c
Third party reimbursement for mammography, pap smear or human papilloma virus testing.
33-15-4d
Third party reimbursement for rehabilitation services.
33-15-4e
Benefits for mothers and newborns.
33-15-4f
Third party reimbursement for colorectal cancer examination and laboratory testing.
33-15-4g
Required coverage for reconstruction surgery following mastectomies.
33-15-4h
Coverage for patient cost of clinical trials.
33-15-4i
Third-party reimbursement for kidney disease screening.
33-15-4j
Required coverage for dental anesthesia services.
33-15-4k
Maternity coverage.
33-15-4l
Deductibles, copayments and coinsurance for anti-cancer medications.
33-15-4m
Eye drop prescription refills.
33-15-4n
Deductibles, copayments and coinsurance for abuse-deterrent opioid analgesic drugs.
33-15-4o
Step therapy.
33-15-4p
Lyme disease to be covered by all health insurance policies.
33-15-4q
Coverage for amino acid-based formulas.
33-15-4r
Substance use disorder.
33-15-4s
Prior authorization.
33-15-4t
Fairness in Cost-Sharing Calculation.
33-15-4u
Mental health parity.
33-15-4v
Incorporation of the Health Benefit Plan Network Access and Adequacy Act.
33-15-4w
Incorporation of the coverage for 12-month refill for contraceptive drugs.
33-15-4x
Coverage of emergency medical services to triage and transport to alternative destination or treat in place.
33-15-5
Optional policy provisions.
33-15-6
Inapplicable or inconsistent provisions.
33-15-7
Order of certain provisions.
33-15-8
Third party ownership of policy covering insured.
33-15-9
Requirements of other jurisdictions.
33-15-10
Franchise insurance.
33-15-11
Hospital indemnity policies not to exclude coverage for confinement in government hospital.
33-15-12
Continuum of care services.
33-15-13
Policies not to terminate coverage because of diagnosis or treatment of acquired immune deficiency syndrome.
33-15-14
Policies discriminating among health care providers.
33-15-16
Policies not to exclude insured's children from coverage; required services; coordination with other insurance.
33-15-17
Child immunization services coverage.
33-15-18
Equal treatment of state agency.
33-15-19
Coordination of benefits with Medicaid.
33-15-20
Individual medical savings accounts; definitions; ownership; trustees; regulations.
33-15-21
Coverage of emergency services.
33-15-22
Assignment of certain benefits in dental care insurance coverage.
33-15-23
Copayments for certain services.