Nev. Admin. Code § 687B.716

Current through November 8, 2024

Section 687B.716 - Notice of duplication for policy which provides reimbursement for expenses incurred for accidental injury only

1. An insurer that delivers or issues for delivery in this State a policy of health insurance which provides reimbursement for expenses incurred for an accidental injury only and which provides benefits that are provided under Medicare shall provide notice to the insured that the policy contains benefits which are also provided under Medicare.

2. The notice must be:

(a) Printed or attached to the first page of the application for the policy; and

(b) In not less than 12-point type and must not vary from the following form in terms of language or format:

Important Notice to Persons on Medicare This Insurance Duplicates Some Medicare Benefits

This is not Medicare Supplement Insurance

This insurance provides limited benefits, if you meet the policy conditions, for hospital or medical expenses that result from accidental injury. It does not pay your Medicare deductibles or coinsurance and is not a substitute for Medicare Supplement insurance.

This insurance duplicates Medicare benefits when it pays:

* hospital or medical expenses up to the maximum stated in the policy

Medicare generally pays for most or all of these expenses.

Medicare pays extensive benefits for medically necessary services regardless of the reason you need them. These include:

* hospitalization

* physician services

* outpatient prescription drugs if you are enrolled in Medicare Part D

* other approved items and services

Before You Buy This Insurance

Check the coverage in all health insurance policies you already have.

For more information about Medicare and Medicare Supplement insurance, review the Guide to Health Insurance for People with Medicare, available from the insurance company.

For help in understanding your health insurance, contact the Commissioner of Insurance or the State Health Insurance Assistance Program (SHIP).

Nev. Admin. Code § 687B.716

Added to NAC by Div. of Insurance by R078-05, 11-17-2005, eff. 9-8-2005 for Plans K and L, and 1-1-2006 for Medicare Part D Prescription Drug Benefit

NRS 679B.130