                                 CODE OF VIRGINIA

OPTIONAL COVERAGE FOR OBSTETRICAL SERVICES (§ 38.2-3414)

A. Each insurer proposing to issue a group hospital policy or a group major
medical policy in this Commonwealth and each corporation proposing to issue
group hospital, group medical or group major medical subscription contracts
shall provide coverage for obstetrical services as an option available to the
group policyholder or the contract holder in the case of benefits based upon
treatment as an inpatient in a general hospital. The reimbursement for
obstetrical services by a physician shall be based on the charges for the
services determined according to the same formula by which the charges are
developed for other medical and surgical procedures. Such coverage shall have
durational limits, dollar limits, deductibles and coinsurance factors that are
no less favorable than for physical illness generally.

B. This section shall not apply to short-term travel, accident only, or limited
or specified disease policies or contracts, nor to policies or contracts
designed for issuance to persons eligible for coverage under Title XVIII of the
Social Security Act, known as Medicare, or any other similar coverage under
state or federal governmental plans.

HISTORY: 1978, c. 375, § 38.1-348.9; 1986, c. 562; 2014, c. 814.