West Virginia Code
Article 24. Hospital Service Corporations, Medical Service Corporations, Dental Service Corporations and Health Service Corporations
§33-24-7l. Maternity Coverage

Notwithstanding any provision of any policy, provision, contract, plan or agreement applicable to this article, a health insurance policy subject to this article, issued or renewed on or after January 1, 2014, which provides health insurance coverage for maternity services, shall provide coverage for maternity services for all persons participating in, or receiving coverage under the policy. To the extent that the provisions of this section require benefits that exceed the essential health benefits specified under section 1302(b) of the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, as amended, the specific benefits that exceed the specified essential health benefits are not required of a health benefit plan when the plan is offered by a health care insurer in this state. Coverage required under this section may not be subject to exclusions or limitations which are not applied to other maternity coverage under the policy.

Structure West Virginia Code

West Virginia Code

Chapter 33. Insurance

Article 24. Hospital Service Corporations, Medical Service Corporations, Dental Service Corporations and Health Service Corporations

§33-24-1. Declaration of Policy

§33-24-2. Definitions

§33-24-3. Corporations Affected by Article; Eligibility of Hospitals, Physicians, Dentists, Chiropodists-Podiatrists and Chiropractors

§33-24-4. Exemptions; Applicability of Insurance Laws

§33-24-4a. Coverage for Patient Cost of Clinical Trials

§33-24-4b. Applicability of Insurance Fraud Prevention Act

§33-24-5. Licenses; Name of Corporation

§33-24-6. Commissioner to Enforce Article; Approval of Contracts, Forms, Rates and Fees

§33-24-6a. Loss Ratio

§33-24-7. Required Provisions in Contracts Made by Corporations With Hospitals, Physicians, Dentists and Other Health Agencies

§33-24-7a. Contracts to Cover Nursing Service

§33-24-7b. Third Party Reimbursement for Mammography, Pap Smear or Human Papilloma Virus Testing

§33-24-7c. Third Party Reimbursement for Rehabilitation Services

§33-24-7d. Required Provisions in Contracts Which Include Child Immunization Services in the Terms of the Contract

§33-24-7e. Coverage of Emergency Services

§33-24-7f. Third Party Reimbursement for Colorectal Cancer Examination and Laboratory Testing

§33-24-7g. Required Coverage for Reconstruction Surgery Following Mastectomies

§33-24-7h. Required Use of Mail-Order Pharmacy Prohibited

§33-24-7i. Third-Party Reimbursement for Kidney Disease Screening

§33-24-7j. Required Coverage for Dental Anesthesia Services

§33-24-7k. Coverage for Diagnosis and Treatment of Autism Spectrum Disorders

§33-24-7l. Maternity Coverage

§33-24-7m. Deductibles, Copayments and Coinsurance for Anti-Cancer Medications

§33-24-7n. Eye Drop Prescription Refills

§33-24-7o. Deductibles, Copayments and Coinsurance for Abuse-Deterrent Opioid Analgesic Drugs

§33-24-7p. Step Therapy

§33-24-7q. Coverage for Amino Acid-Based Formulas

§33-24-7r. Substance Use Disorder

§33-24-7s. Prior Authorization

§33-24-7t. Fairness in Cost-Sharing Calculation

§33-24-7u. Mental Health Parity

§33-24-7v. Incorporation of the Health Benefit Plan Network Access and Adequacy Act

§33-24-7w. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs

§33-24-8. Contract or Certificate to Be Furnished to Policyholders and Subscribers; Payment for Health Care Rendered Needy Persons

§33-24-9. Payroll Deduction for Governmental Employees

§33-24-10. Investments; Bonds of Corporate Officers and Employees, Minimum Statutory Surplus

§33-24-11. Reciprocity With Other Service Plans; Payment Authorized

§33-24-12. Creation of Subsidiary Corporation or Corporations

§33-24-13. Continuum of Care Services

§33-24-14. Delinquency Proceedings

§33-24-43. Policies Discriminating Among Health Care Providers

§33-24-44. Authority of Commissioner to Promulgate Rules and Regulations Regarding Affiliate and Subsidiary Operating Results

§33-24-45. Assignment of Certain Benefits in Dental Care Insurance Coverage