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Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.17A-166.Prescription eye drops coverage to include refills and additional bottle if conditions met

Current as of January 01, 2021 | Updated by FindLaw Staff

(1) As used in this section, “practitioner” has the same meaning as in KRS 217.015.

(2) Any health benefit plan issued or renewed on or after January 1, 2015, that provides coverage for prescription eye drops shall not deny coverage for a refill of a prescription if:

(a) The refill is requested by the insured:

1. For a thirty (30) day supply, between twenty-five (25) days and thirty (30) days from the later of:

a. The original date the prescription was distributed to the insured; or

b. The date the most recent refill was distributed to the insured; and

2. For a ninety (90) day supply, between eighty (80) days and ninety (90) days from the later of:

a. The original date the prescription was distributed to the insured; or

b. The date the most recent refill was distributed to the insured; and

(b) The prescribing practitioner indicates on the original prescription that additional quantities are needed, and the refill requested by the insured does not exceed the number of additional quantities needed.

(3) (a) Any health benefit plan issued or renewed on or after January 1, 2015, that provides coverage for prescription eye drops shall provide coverage for one (1) additional bottle of prescription eye drops, pursuant to KRS 304.17A-165, when:

1. The additional bottle is requested by the insured or the prescribing practitioner at the time the original prescription is distributed to the insured; and

2. The prescribing practitioner indicates on the original prescription that the additional bottle is needed by the insured for use in a day care center or school.

(b) Coverage for an additional bottle shall be limited to one (1) bottle every three (3) months.

(4) The coverages required by this section shall not be subject to a greater deductible or copayment than other similar health care services provided by the health benefit plan.

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Cite this article: FindLaw.com - Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.17A-166.Prescription eye drops coverage to include refills and additional bottle if conditions met - last updated January 01, 2021 | https://codes.findlaw.com/ky/title-xxv-business-and-financial-institutions/ky-rev-st-sect-304-17a-166/

Read this complete Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.17A-166.Prescription eye drops coverage to include refills and additional bottle if conditions met on Westlaw

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