N.J.S.A 17:48E-35.36 Health service corporation to provide coverage for prescription eye drops.

17:48E-35.36 Health service corporation to provide coverage for prescription eye drops.

3. a. A health service corporation which provides hospital or medical expense benefits that include coverage for prescription eye drops under a contract delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred for refills of prescription eye drops in accordance with the Guidance for Early Refill Edits of Topical Ophthalmic Products provided to Medicare Part D plan sponsors by the Centers for Medicare & Medicaid Services of the U.S.Department of Health and Human Services, provided that:

(1) the prescribing health care practitioner indicates on the original prescription that additional quantities of the prescription eye drops are needed; and

(2) the refill requested by the subscriber or covered person does not exceed the number of additional quantities indicated on the original prescription by the prescribing health care practitioner.

b. The provisions of this section shall apply to all health service corporation contracts in which the health service corporation has reserved the right to change the premium.

L.2013, C. 50, S.3.

Case(s):

Look up case for New Jersey Statute 17:48E-35.36 Health service corporation to provide coverage for prescription eye drops.

Original Text maintained by the State of New Jersey:

NJ Maintained Unanotated Statutes References to 17:48E-35.36 Health service corporation to provide coverage for prescription eye drops.

Previous: 17:48E-35.35 Health service corporation to provide coverage for sickle cell anemia. Next: 17:48E-35.37 Health service corporation contract, coverage for synchronization of prescribed medications.

Disclaimer: Always check for the most up to date language of a statute. Every time a new law is enacted it has a possibility of changing the wording of a statute or override case law. These pages were created to assist in looking up and migrating between statutes easily. No accuracy is guaranteed. If you need help with researching law, contact an attorney.

Related Posts

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.