§2757. Coverage for services of certified nurse practitioners; certified nurse midwives

(REALLOCATED FROM TITLE 24-A, SECTION 2756)

1.  Required coverage for services upon referral of primary care provider.  An insurer that issues individual health insurance policies and contracts shall provide coverage under those contracts for services performed by a certified nurse practitioner or certified nurse midwife to a patient who is referred to the certified nurse practitioner or certified nurse midwife by a primary care provider when those services are within the lawful scope of practice of the certified nurse practitioner or certified nurse midwife.

[RR 1999, c. 1, §32 (RAL).]

2.  Required coverage for self-referred services.  With respect to individual health insurance policies and contracts that do not require the selection of a primary care provider, an insurer shall provide coverage under those contracts for services performed by a certified nurse practitioner or certified nurse midwife when those services are covered services and when they are within the lawful scope of practice of the certified nurse practitioner or certified nurse midwife.

[RR 1999, c. 1, §32 (RAL).]

3.  Limits; coinsurance; deductibles.  Any contract that provides coverage for services under this section may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are not inconsistent with the requirements of this section.

[RR 1999, c. 1, §32 (RAL).]

SECTION HISTORY

RR 1999, c. 1, §32 (RAL).