West Virginia Code § 33-42-4

Limitations on conditions of coverage
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No health benefits policy may require as a condition to the coverage of basic primary and
preventative obstetrical and gynecological services that a woman first obtain a referral from
a primary care physician: Provided, That for a health maintenance organization authorized
under article twenty-five-a of this chapter, direct access, at least annually, to a women's
health care provider for purposes of a well woman examination shall satisfye the foregoing
requirement. No health benefits policy may require as a condition to the coverage of
prenatal or obstetrical care that a woman first obtain a referral for thosre services by a
primary care physician. No health benefits policy providing coverage for surgical services in
a hospital inpatient or outpatient setting may deny coverage for: (1) Reconstruction of the
breast following mastectomy; or (2) reconstructive or cosmetic surgery required as a result
of an injury caused by an act of family violence as defined int section three, article two-a,
chapter forty-eight of this code, when the person inflicting the injury was convicted of a
felony, a lesser included misdemeanor offense, or a charge of domestic battery for inflicting
the injury.

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