17:48-6ll Hospital service corporation to provide coverage for prescription eye drops.
189 words·~1 min read·
/nj/title-17/chapter-48/17-48-6ll·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
1. a. A hospital 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 hospital service corporation contracts in which the hospital service corporation has reserved the right to change the premium.
L.2013, c.50, s.1.