SECTION 38.2-3400. Application of chapter

SECTION 38.2-3401. Forms of insurance authorized

SECTION 38.2-3402. Certification to accompany application

SECTION 38.2-3403. Fraudulent procurement of policy

SECTION 38.2-3404. Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies

SECTION 38.2-3405. Certain subrogation provisions and limitations upon recovery in hospital, medical, etc., policies forbidden; limitations on disclosure of medical treatment options prohibited

SECTION 38.2-3405.1. Commonwealth's right to certain accident and sickness benefits

SECTION 38.2-3406. Accident and sickness benefits not subject to legal process

SECTION 38.2-3406.1. Application of requirements that policies offered by small employers include state-mandated health benefits

SECTION 38.2-3406.2. Capped benefits under insurance policies and contracts

SECTION 38.2-3407. Health benefit programs

SECTION 38.2-3407.1. Interest on accident and sickness claim proceeds

SECTION 38.2-3407.2. Coverage for medical child support

SECTION 38.2-3407.3. Calculation of cost-sharing provisions

SECTION 38.2-3407.3.1. Premium payment arrearages; order of crediting payments

SECTION 38.2-3407.4. Explanation of benefits

SECTION 38.2-3407.4.1. Repealed

SECTION 38.2-3407.4.2. Requirements for prescription benefit cards

SECTION 38.2-3407.5. Denial of benefits for certain prescription drugs prohibited

SECTION 38.2-3407.5.1. Coverage for prescription contraceptives

SECTION 38.2-3407.5.2. Reimbursements for dispensing hormonal contraceptives

SECTION 38.2-3407.6. Exclusion of podiatrist not permitted under certain circumstances

SECTION 38.2-3407.6.1. Denial of benefits for certain prescription drugs prohibited

SECTION 38.2-3407.7. Pharmacies; freedom of choice

SECTION 38.2-3407.8. Repealed

SECTION 38.2-3407.9. Reimbursement for emergency medical services vehicle transportation services

SECTION 38.2-3407.9.01. Prescription drug formularies

SECTION 38.2-3407.9.02. Requirement for prescription drug coverage

SECTION 38.2-3407.9.03. Payment of clean claims to administrators of pharmacy benefits

SECTION 38.2-3407.9.04. Medication synchronization

SECTION 38.2-3407.9.05. Step therapy protocols

SECTION 38.2-3407.10. Health care provider panels

SECTION 38.2-3407.10.1. Reimbursement for services rendered during pendency of a participating provider's credentialing application

SECTION 38.2-3407.10.2. Credentialing of private mental health agencies

SECTION 38.2-3407.11. Access to obstetrician-gynecologists

SECTION 38.2-3407.11.1. Access to specialists; standing referrals

SECTION 38.2-3407.11.2. Standing referral for cancer patients

SECTION 38.2-3407.11.3. Breast cancer underwriting and preexisting condition restrictions

SECTION 38.2-3407.11.4. Disability arising out of childbirth; minimum benefit

SECTION 38.2-3407.11.5. Interhospital transfer for newborn or mother; prior authorization prohibited

SECTION 38.2-3407.12. Patient optional point-of-service benefit

SECTION 38.2-3407.13. Refusal to accept assignments prohibited; dentists and oral surgeons

SECTION 38.2-3407.13.1. Coordination of benefits; notice of priority of coverage

SECTION 38.2-3407.13.2. Claims paid to insureds for services from nonparticipating physicians

SECTION 38.2-3407.14. Notice of premium or deductible increases

SECTION 38.2-3407.14.1. Standard of clinical evidence for decisions on coverage for proton radiation therapy

SECTION 38.2-3407.15. Ethics and fairness in carrier business practices

SECTION 38.2-3407.15.1. Carrier contracts with pharmacy providers; required provisions; limit on termination or nonrenewal

SECTION 38.2-3407.15.2. Carrier contracts; required provisions regarding prior authorization

SECTION 38.2-3407.15.3. Carrier and intermediary contracts with pharmacy providers; disclosure and updating of maximum allowable cost of drugs; limit on termination or nonrenewal

SECTION 38.2-3407.15.4. Limit on copayment for prescription drugs; permitted disclosures

SECTION 38.2-3407.15.5. Limit on cost-sharing payments for prescription insulin drugs

SECTION 38.2-3407.16. Requirements for obstetrical care

SECTION 38.2-3407.17. Payment for services by dentists and oral surgeons

SECTION 38.2-3407.17.1. Payment and reimbursement practices for dental services; network access

SECTION 38.2-3407.18. Requirements for orally administered cancer chemotherapy drugs

SECTION 38.2-3407.19. Payment for services by optometrists and ophthalmologists

SECTION 38.2-3407.20. Calculation of enrollee's contribution to out-of-pocket maximum or cost-sharing requirement

SECTION 38.2-3407.21. (Effective July 1, 2021) Short-term limited-duration medical plans