Article
General Provisions
- Va. Code Ann. § 38.2-3400— Application of chapter
- Va. Code Ann. § 38.2-3401— Forms of insurance authorized
- Va. Code Ann. § 38.2-3402— Certification to accompany application
- Va. Code Ann. § 38.2-3403— Fraudulent procurement of policy
- Va. Code Ann. § 38.2-3404— Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies
- Va. Code Ann. § 38.2-3405— Certain subrogation provisions and limitations upon recovery in hospital, medical, etc., policies forbidden; limitations on disclosure of medical treatment options prohibited
- Va. Code Ann. § 38.2-3405.1— Commonwealth's right to certain accident and sickness benefits
- Va. Code Ann. § 38.2-3406— Accident and sickness benefits not subject to legal process
- Va. Code Ann. § 38.2-3406.1— Application of requirements that policies offered by small employers include state-mandated health benefits
- Va. Code Ann. § 38.2-3406.2— Capped benefits under insurance policies and contracts
- Va. Code Ann. § 38.2-3407— Health benefit programs
- Va. Code Ann. § 38.2-3407.1— Interest on accident and sickness claim proceeds
- Va. Code Ann. § 38.2-3407.2— Coverage for medical child support
- Va. Code Ann. § 38.2-3407.3— Calculation of cost-sharing provisions
- Va. Code Ann. § 38.2-3407.3:1— Premium payment arrearages; order of crediting payments
- Va. Code Ann. § 38.2-3407.4— Explanation of benefits
- Va. Code Ann. § 38.2-3407.4:1— Repealed
- Va. Code Ann. § 38.2-3407.4:2— Requirements for prescription benefit cards
- Va. Code Ann. § 38.2-3407.5— Denial of benefits for certain prescription drugs prohibited
- Va. Code Ann. § 38.2-3407.5:1— Coverage for prescription contraceptives
- Va. Code Ann. § 38.2-3407.5:2— Reimbursements for dispensing hormonal contraceptives
- Va. Code Ann. § 38.2-3407.6— Exclusion of podiatrist not permitted under certain circumstances
- Va. Code Ann. § 38.2-3407.6:1— Denial of benefits for certain prescription drugs prohibited
- Va. Code Ann. § 38.2-3407.7— Pharmacies; freedom of choice
- Va. Code Ann. § 38.2-3407.8— Repealed
- Va. Code Ann. § 38.2-3407.9— Reimbursement for emergency medical services vehicle transportation services
- Va. Code Ann. § 38.2-3407.9:01— Prescription drug formularies
- Va. Code Ann. § 38.2-3407.9:02— Requirement for prescription drug coverage
- Va. Code Ann. § 38.2-3407.9:03— Payment of clean claims to administrators of pharmacy benefits
- Va. Code Ann. § 38.2-3407.9:04— Medication synchronization
- Va. Code Ann. § 38.2-3407.9:05— Step therapy protocols
- Va. Code Ann. § 38.2-3407.10— Health care provider panels
- Va. Code Ann. § 38.2-3407.10:1— Processing of new provider applications and reimbursement for services rendered during pendency of a participating provider's credentialing application
- Va. Code Ann. § 38.2-3407.10:2— Credentialing of private mental health agencies
- Va. Code Ann. § 38.2-3407.11— Access to obstetrician-gynecologists
- Va. Code Ann. § 38.2-3407.11:1— Access to specialists; standing referrals
- Va. Code Ann. § 38.2-3407.11:2— Standing referral for cancer patients
- Va. Code Ann. § 38.2-3407.11:3— Breast cancer underwriting and preexisting condition restrictions
- Va. Code Ann. § 38.2-3407.11:4— Disability arising out of childbirth; minimum benefit
- Va. Code Ann. § 38.2-3407.11:5— Interhospital transfer for newborn or mother; prior authorization prohibited
- Va. Code Ann. § 38.2-3407.12— Patient optional point-of-service benefit
- Va. Code Ann. § 38.2-3407.13— Refusal to accept assignments prohibited; dentists and oral surgeons
- Va. Code Ann. § 38.2-3407.13:1— Coordination of benefits; notice of priority of coverage
- Va. Code Ann. § 38.2-3407.13:2— Claims paid to insureds for services from nonparticipating physicians
- Va. Code Ann. § 38.2-3407.14— Notice of premium or deductible increases
- Va. Code Ann. § 38.2-3407.14:1— Standard of clinical evidence for decisions on coverage for proton radiation therapy
- Va. Code Ann. § 38.2-3407.15— Ethics and fairness in carrier business practices
- Va. Code Ann. § 38.2-3407.15:1— Carrier contracts with pharmacy providers; required provisions; limit on termination or nonrenewal
- Va. Code Ann. § 38.2-3407.15:2— (Effective January 1, 2027) Carrier contracts; required provisions regarding prior authorization for drug benefits
- Va. Code Ann. § 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
- Va. Code Ann. § 38.2-3407.15:4— Limit on copayment for prescription drugs; permitted disclosures
- Va. Code Ann. § 38.2-3407.15:5— Limit on cost-sharing payments for prescription insulin drugs
- Va. Code Ann. § 38.2-3407.15:6— Prescription drug price transparency
- Va. Code Ann. § 38.2-3407.15:7— Carrier provision of certain information
- Va. Code Ann. § 38.2-3407.15:8— (Effective January 1, 2027) Carrier contracts; required provisions regarding prior authorization for health care services
- Va. Code Ann. § 38.2-3407.16— Requirements for obstetrical care
- Va. Code Ann. § 38.2-3407.17— Payment for services by dentists and oral surgeons
- Va. Code Ann. § 38.2-3407.17:1— Payment and reimbursement practices for dental services; network access
- Va. Code Ann. § 38.2-3407.18— Requirements for orally administered cancer chemotherapy drugs
- Va. Code Ann. § 38.2-3407.19— Payment for services by optometrists and ophthalmologists
- Va. Code Ann. § 38.2-3407.20— Calculation of enrollee's contribution to out-of-pocket maximum or cost-sharing requirement
- Va. Code Ann. § 38.2-3407.21— Short-term limited-duration medical plans
- Va. Code Ann. § 38.2-3407.22— Option for rebates to enrollees; protected information