Nevada Revised Statutes
Chapter 695D - Plans for Dental Care
NRS 695D.216 - Required provision concerning coverage for services provided through telehealth to same extent and in same amount as though provided in person or by other means; exception; prohibited acts. [Effective through the earlier of 1 year afte...


1. A plan for dental care must include coverage for services provided to a member through telehealth to the same extent and, except for services provided through audio-only interaction, in the same amount as though provided in person or by other means.
2. An organization for dental care shall not:
(a) Require a member to establish a relationship in person with a provider of health care or provide any additional consent to or reason for obtaining services through telehealth as a condition to providing the coverage described in subsection 1;
(b) Require a provider of health care to demonstrate that it is necessary to provide services to a member through telehealth or receive any additional type of certification or license to provide services through telehealth as a condition to providing the coverage described in subsection 1;
(c) Refuse to provide the coverage described in subsection 1 because of:
(1) The distant site from which a provider of health care provides services through telehealth or the originating site at which a member receives services through telehealth; or
(2) The technology used to provide the services:
(d) Require covered services to be provided through telehealth as a condition to providing coverage for such services; or
(e) Categorize a service provided through telehealth differently for purposes relating to coverage or reimbursement than if the service had been provided in person or through other means.
3. A plan for dental care must not require a member to obtain prior authorization for any service provided through telehealth that is not required for the service when provided in person. A plan for dental care may require prior authorization for a service provided through telehealth if such prior authorization would be required if the service were provided in person or by other means.
4. The provisions of this section do not require an organization for dental care to:
(a) Ensure that covered services are available to a member through telehealth at a particular originating site;
(b) Provide coverage for a service that is not a covered service or that is not provided by a covered provider of health care; or
(c) Enter into a contract with any provider of health care or cover any service if the organization for dental care is not otherwise required by law to do so.
5. A plan for dental care subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 2021, 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.
6. As used in this section:
(a) "Distant site" has the meaning ascribed to it in NRS 629.515.
(b) "Originating site" has the meaning ascribed to it in NRS 629.515.
(c) "Provider of health care" has the meaning ascribed to it in NRS 439.820.
(d) "Telehealth" has the meaning ascribed to it in NRS 629.515.
(Added to NRS by 2015, 645; A 2021, 3040)

1. A plan for dental care must include coverage for services provided to a member through telehealth to the same extent as though provided in person or by other means.
2. An organization for dental care shall not:
(a) Require a member to establish a relationship in person with a provider of health care or provide any additional consent to or reason for obtaining services through telehealth as a condition to providing the coverage described in subsection 1;
(b) Require a provider of health care to demonstrate that it is necessary to provide services to a member through telehealth or receive any additional type of certification or license to provide services through telehealth as a condition to providing the coverage described in subsection 1;
(c) Refuse to provide the coverage described in subsection 1 because of:
(1) The distant site from which a provider of health care provides services through telehealth or the originating site at which a member receives services through telehealth; or
(2) The technology used to provide the services:
(d) Require covered services to be provided through telehealth as a condition to providing coverage for such services; or
(e) Categorize a service provided through telehealth differently for purposes relating to coverage than if the service had been provided in person or through other means.
3. A plan for dental care must not require a member to obtain prior authorization for any service provided through telehealth that is not required for the service when provided in person. A plan for dental care may require prior authorization for a service provided through telehealth if such prior authorization would be required if the service were provided in person or by other means.
4. The provisions of this section do not require an organization for dental care to:
(a) Ensure that covered services are available to a member through telehealth at a particular originating site;
(b) Provide coverage for a service that is not a covered service or that is not provided by a covered provider of health care; or
(c) Enter into a contract with any provider of health care or cover any service if the organization for dental care is not otherwise required by law to do so.
5. A plan for dental care subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after October 1, 2021, 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.
6. As used in this section:
(a) "Distant site" has the meaning ascribed to it in NRS 629.515.
(b) "Originating site" has the meaning ascribed to it in NRS 629.515.
(c) "Provider of health care" has the meaning ascribed to it in NRS 439.820.
(d) "Telehealth" has the meaning ascribed to it in NRS 629.515.
(Added to NRS by 2015, 645; A 2021, 3040, 3041, effective on the earlier of 1 year after the date on which the Governor terminates the Declaration of Emergency for COVID-19 issued on March 12, 2020, or June 30, 2023)

Structure Nevada Revised Statutes

Nevada Revised Statutes

Chapter 695D - Plans for Dental Care

NRS 695D.010 - Definitions.

NRS 695D.012 - "Administrator" defined.

NRS 695D.020 - "Commissioner" defined.

NRS 695D.030 - "Dental care" defined.

NRS 695D.040 - "Dentist" defined.

NRS 695D.050 - "Member" defined.

NRS 695D.060 - "Organization for dental care" defined.

NRS 695D.070 - "Plan for dental care" defined.

NRS 695D.080 - "Policy" defined.

NRS 695D.090 - Applicability of title to organizations for dental care; applicability of chapter.

NRS 695D.095 - Applicability of chapter and certain other provisions to organizations for dental care.

NRS 695D.100 - Regulations.

NRS 695D.102 - Summary of coverage: Contents of disclosure; approval by Commissioner; regulations.

NRS 695D.104 - Summary of coverage: Copy required to be provided to group policyholder before issuance of policy; organization prohibited from offering plan unless disclosure approved by Commissioner.

NRS 695D.110 - Certificate of authority: Required for establishing, operating, acting as administrator of, selling or offering to sell plan for dental care.

NRS 695D.120 - Certificate of authority: Application.

NRS 695D.130 - Certificate of authority: Issuance; fees.

NRS 695D.140 - Certificate of authority: Notice of change of information; application for amendment; fee; approval.

NRS 695D.150 - Certificate of authority: Expiration; renewal; fees.

NRS 695D.153 - Capital account: Minimum amount; requirements.

NRS 695D.157 - Hazardous financial condition: Regulations; determination; powers of Commissioner.

NRS 695D.160 - Composition of board of directors for organization for dental care that is corporation.

NRS 695D.170 - Bond or deposit: Required; amount; creation of Fund for Bonds of Organizations for Dental Care; judgment as lien; disposition upon dissolution, liquidation or other termination of organization.

NRS 695D.180 - Requirements concerning bond.

NRS 695D.190 - Certain persons in organization for dental care in fiduciary relationship to members; dentist subject to disciplinary action for breaches of fiduciary or contractual obligations.

NRS 695D.200 - Policy: Review by prospective members at meeting; provision of copy to members; approval by Commissioner; form and contents; notice of change.

NRS 695D.203 - Group plan issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability to self-insured employer.

NRS 695D.205 - Copayments and deductibles: Reasonableness; approval of Commissioner; regulations.

NRS 695D.210 - Policy covering dependent of member required to include coverage for member’s newly born and adopted children and children placed with member for adoption to same extent as other dependents.

NRS 695D.215 - Claims: Approval or denial; request for additional information; payment; interest on unpaid claim.

NRS 695D.2153 - Claims: Organization for dental care or administrator prohibited from denying claim for which prior authorization has been granted; exceptions.

NRS 695D.2157 - Recovery of overpayments: Notice; procedures for challenging attempted recovery; limitation of period for recovery; exception.

NRS 695D.216 - Required provision concerning coverage for services provided through telehealth to same extent and in same amount as though provided in person or by other means; exception; prohibited acts. [Effective through the earlier of 1 year afte...

NRS 695D.217 - Organization for dental care prohibited from denying coverage solely because claim involves act that constitutes domestic violence or applicant or insured was victim of domestic violence.

NRS 695D.219 - Organization for dental care prohibited from denying coverage solely because applicant or member was intoxicated or under the influence of controlled substance; exceptions.

NRS 695D.220 - Licensing of agents.

NRS 695D.225 - Contracts between organization for dental care and dentist: Modification; submission of schedule of payments upon request; exceptions.

NRS 695D.227 - Prohibitions related to setting of fees by plan or organization for dental care other than covered services to members.

NRS 695D.230 - Advertising or materials used to enroll or solicit members: Approval of Commissioner; penalties.

NRS 695D.240 - Limitation on use of charges or premiums for marketing and administrative expenses; regulations.

NRS 695D.250 - Reserves: Maintenance; exception; held in fiduciary capacity; deposit; penalty for diversion or appropriation; regulations.

NRS 695D.260 - Annual report; financial statement; quarterly statement; administrative penalty for failure to file timely report or statement; extension of time; payment of premium tax and filing fee.

NRS 695D.270 - Examination by Commissioner.

NRS 695D.280 - Rehabilitation, liquidation or conservation: Conduct.

NRS 695D.290 - Trade practices and frauds: Applicability of provisions to organizations for dental care.

NRS 695D.300 - Disciplinary action: Grounds; penalties.

NRS 695D.310 - Disciplinary or other action: Notice; hearing; order.