West Virginia Code
Article 16. Group Accident and Sickness Insurance
§33-16-3gg. Incorporation of the Health Benefit Plan Network Access and Adequacy Act

The provisions of the Health Benefit Plan Network Access and Adequacy Act codified at 33-55-1 et seq. of this code are made applicable to the provisions of this article.

Structure West Virginia Code

West Virginia Code

Chapter 33. Insurance

Article 16. Group Accident and Sickness Insurance

§33-16-1. Scope of Article

§33-16-1a. Definitions

§33-16-1b. Applicability

§33-16-2. Eligible Groups

§33-16-3. Required Policy Provisions

§33-16-3a. Same-Mental Health

§33-16-3aa. Step Therapy

§33-16-3b. Home Health Care Coverage

§33-16-3bb. Coverage for Amino Acid-Based Formulas

§33-16-3c. Loss Ratio

§33-16-3cc. Substance Use Disorder

§33-16-3d. Medicare Supplement Insurance

§33-16-3dd. Prior Authorization

§33-16-3e. Policies to Cover Nursing Services

§33-16-3ee. Fairness in Cost-Sharing Calculation

§33-16-3f. Required Policy Provisions -- Treatment of Temporomandibular Joint Disorder and Craniomandibular Disorder

§33-16-3ff. Mental Health Parity

§33-16-3g. Third Party Reimbursement for Mammography, Pap Smear or Human Papilloma Virus Testing

§33-16-3gg. Incorporation of the Health Benefit Plan Network Access and Adequacy Act

§33-16-3h. Third Party Reimbursement for Rehabilitation Services

§33-16-3hh. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs

§33-16-3i. Coverage of Emergency Services

§33-16-3j. Hospital Benefits for Mothers and Newborns

§33-16-3k. Limitations on Preexisting Condition Exclusions for Health Benefit Plans

§33-16-3l. Renewability and Modification of Health Benefit Plans

§33-16-3m. Creditable Coverage

§33-16-3n. Eligibility for Enrollment

§33-16-3o. Third Party Reimbursement for Colorectal Cancer Examination and Laboratory Testing

§33-16-3p. Required Coverage for Reconstruction Surgery Following Mastectomies

§33-16-3q. Required Use of Mail-Order Pharmacy Prohibited

§33-16-3r. Coverage for Patient Cost of Clinical Trials

§33-16-3s. Third-Party Reimbursement for Kidney Disease Screening

§33-16-3t. Required Coverage for Dental Anesthesia Services

§33-16-3u. Special Enrollment Period Under the American Recovery and Reinvestment Act of 2009

§33-16-3v. Required Coverage for Treatment of Autism Spectrum Disorders

§33-16-3w. Maternity Coverage

§33-16-3x. Deductibles, Copayments and Coinsurance for Anti-Cancer Medications

§33-16-3y. Eye Drop Prescription Refills

§33-16-3z. Deductibles, Copayments and Coinsurance for Abuse-Deterrent Opioid Analgesic Drugs

§33-16-3zz. Lyme Disease to Be Covered by All Health Insurance Policies

§33-16-4. Size of Type

§33-16-5. Contingencies for Which Benefits or Reimbursement of Expenses Permitted

§33-16-6. Rider Changing Individual Policy to Group Policy Prohibited

§33-16-7. Hospital Indemnity Policies Not to Exclude Coverage for Confinement in Government Hospital

§33-16-8. Continuum of Care Services

§33-16-9. Policies Not to Terminate Coverage Because of Diagnosis or Treatment of Acquired Immune Deficiency Syndrome

§33-16-10. Policies Discriminating Among Health Care Providers

§33-16-11. Group Policies Not to Exclude Insured's Children From Coverage; Required Services; Coordination With Other Insurance

§33-16-12. Child Immunization Services Coverage

§33-16-13. Equal Treatment of State Agency

§33-16-14. Coordination of Benefits With Medicaid

§33-16-15. Individual Medical Savings Accounts; Definitions; Ownership; Contributions; Trustees; Regulations

§33-16-16. Insurance for Diabetics

§33-16-17. Commissioner to Propose Rules

§33-16-18. Assignment of Certain Benefits in Dental Care Insurance Coverage