KRS 304.17C-120: Prescription eye drops coverage to include refills and additional bottle

if conditions met.

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

(2) Any limited health service benefit plan issued or renewed on or a fter 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 n eeded, and the refill requested by the insured does

not exceed the number of additional quantities needed.

(3) (a) Any limited health service benefit plan issued or renewed on or after January

1, 2015, that provides coverage for prescription eye drops shal l provide

coverage for one (1) additional bottle of prescription eye drops, pursuant to

KRS 304.17A-165, when:

1. The addition al 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 th e 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 oth er similar health care services provided by the limited health

service benefit plan.