1. No plan for dental care and no contract between an organization for dental care and a dentist may require, directly or indirectly, that the dentist provide dental care to a member at a fee set by or subject to the approval of the organization for dental care unless the dental care is a covered service.
2. An organization for dental care or any other person providing services as a third-party administrator shall not make available any dentists in its network of dentists to a plan for dental care that sets fees for any dental care except covered services.
3. As used in this section, "covered service" means dental care for which reimbursement is available under a member’s policy, or for which reimbursement would be available but for the application of a contractual limitation, including, without limitation, any deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment or any other limitation.
(Added to NRS by 2013, 1239)
Structure Nevada Revised Statutes
Chapter 695D - Plans for Dental Care
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.102 - Summary of coverage: Contents of disclosure; approval by Commissioner; regulations.
NRS 695D.120 - Certificate of authority: Application.
NRS 695D.130 - Certificate of authority: Issuance; fees.
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.180 - Requirements concerning bond.
NRS 695D.205 - Copayments and deductibles: Reasonableness; approval of Commissioner; regulations.
NRS 695D.220 - Licensing of agents.
NRS 695D.270 - Examination by Commissioner.
NRS 695D.280 - Rehabilitation, liquidation or conservation: Conduct.
NRS 695D.300 - Disciplinary action: Grounds; penalties.
NRS 695D.310 - Disciplinary or other action: Notice; hearing; order.