§ 5-10-8-14.8 — Employee health plan providing coverage for prescription eye drops

Indiana § 5-10-8-14.8

• Jurisdiction: Indiana
• Title 5: STATE AND LOCAL ADMINISTRATION
• Art. 10: PUBLIC EMPLOYEE BENEFITS
• Ch. 8: Group Insurance for Public Employees

Text

8. (a) This section applies to an employee
health plan that provides coverage for prescription eye drops.
(b) As used in this section, "covered individual" means an
individual who is entitled to coverage under a state employee health
plan.
(c) As used in this section, "state employee health plan" means one
(1) of the following:
(1) A self-insurance program established under section 7(b) of
this chapter to provide group health coverage.
(2) A contract with a prepaid health care delivery plan that is
entered into or renewed under section 7(c) of this chapter.
(d) A state employee health plan must provide coverage for a refill
of prescription eye drops if the following are met:
(1) For a thirty (30) day supply, the covered individual requests
the refill not earlier than twenty-five (25) days after the date the
prescription eye drops were last dispensed to the covered
individual.
(2) For a ninety (90) day supply, the covered individual requests
the refill not earlier than seventy-five (75) days after the date the
prescription eye drops were last dispensed to the covered
individual.
(3) The prescribing practitioner has indicated on the prescription
that the prescription eye drops are refillable and the refill
requested by the covered individual does not exceed the refillable
amount remaining on the prescription.
(e) The coverage required by subsection (d) must not be subject to
dollar limits, copayments, deductibles, or coinsurance provisions that
are less favorable to a covered individual than the dollar limits,
copayments, deductibles, or coinsurance provisions that apply to
coverage for prescription drugs generally under the state employee
health plan.
(f) This section applies to a state employee health plan issued,
delivered, amended, or renewed after December 31, 2015.

Legislative History

As added by P.L.43-2015, SEC.1.