March 17, 2020
On March 5, 2020, the Nevada Department of Business and Industry’s Division of Insurance and Gov. Sisolak adopted an emergency regulation that prohibits insurance policies regulated by the state from imposing an out-of-pocket cost for a provider office, urgent care center, or emergency room visit when the purpose of the visit is testing for COVID-19. Additionally, the regulation prohibits insurers from charging Nevadans for the COVID-19 test itself or an immunization as one becomes available and further requires coverage for off-formulary prescription drugs if a formulary drug is not available for treatment. Lastly, the regulation requires health insurers to provide information on available benefits, options for medical advice and treatment through telehealth, and preventative measures related to COVID-19.
This emergency regulation does not apply to self-insured plans. Fully-insured employers with policies regulated in Nevada should be aware of these developments.
Press Release and copy of Emergency Regulation »Consumer Alert »DOI Guidance for Consumers »