Hospital Service Corporations, Medical Service Corporations, Dental Service Corporations and Health Service Corporations. | MidpageHospital Service Corporations, Medical Service Corporations, Dental Service Corporations and Health Service Corporations.
33-24-1Declaration of policy.33-24-2Definitions.33-24-3Corporations affected by article; eligibility of hospitals, physicians, dentists, chiropodists-podiatrists and chiropractors.33-24-4Exemptions; applicability of insurance laws.33-24-4aCoverage for patient cost of clinical trials.33-24-4bApplicability of insurance fraud prevention act.33-24-5Licenses; name of corporation.33-24-6Commissioner to enforce article; approval of contracts, forms, rates and fees.33-24-6aLoss ratio.33-24-7Required provisions in contracts made by corporations with hospitals, physicians, dentists and other health agencies.33-24-7aContracts to cover nursing service.33-24-7bThird party reimbursement for mammography, pap smear or human papilloma virus testing.33-24-7cThird party reimbursement for rehabilitation services.33-24-7dRequired provisions in contracts which include child immunization services in the terms of the contract.33-24-7eCoverage of emergency services.33-24-7fThird party reimbursement for colorectal cancer examination and laboratory testing.33-24-7gRequired coverage for reconstruction surgery following mastectomies.33-24-7hRequired use of mail-order pharmacy prohibited.33-24-7iThird-party reimbursement for kidney disease screening.33-24-7jRequired coverage for dental anesthesia services.33-24-7kCoverage for diagnosis and treatment of autism spectrum disorders.33-24-7lMaternity coverage.33-24-7mDeductibles, copayments and coinsurance for anti-cancer medications.33-24-7nEye drop prescription refills.33-24-7oW. Va. Code § 33-24-7o33-24-7pStep therapy.33-24-7qCoverage for amino acid-based formulas.33-24-7rSubstance use disorder.33-24-7sPrior authorization.33-24-7tFairness in Cost-Sharing Calculation.33-24-7uMental health parity.33-24-7vIncorporation of the Health Benefit Plan Network Access and Adequacy Act.33-24-7wIncorporation of the coverage for 12-month refill for contraceptive drugs.33-24-7xCopayments for certain services.33-24-7yCoverage of emergency medical services to triage and transport to alternative destination or treat in place.33-24-8Contract or certificate to be furnished to policyholders and subscribers; payment for health care rendered needy persons.33-24-9Payroll deduction for governmental employees.33-24-10Investments; bonds of corporate officers and employees, minimum statutory surplus.33-24-11Reciprocity with other service plans; payment authorized.33-24-12Creation of subsidiary corporation or corporations.33-24-13Continuum of care services.33-24-14Delinquency proceedings.33-24-43Policies discriminating among health care providers.33-24-44Authority of commissioner to promulgate rules and regulations regarding affiliate and subsidiary operating results.33-24-45Assignment of certain benefits in dental care insurance coverage.