<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-845" title_number="15" title_name="Health Insurance" subtitle_number="8" subtitle_name="Required Health Insurance Benefits">
  <level label="a">
    <text>This section applies to:</text>
    <level label="1">
      <text>insurers and nonprofit health service plans that provide coverage for prescription eye drops under health insurance policies or contracts that are issued or delivered in the State; and</text>
    </level>
    <level label="2">
      <text>health maintenance organizations that provide coverage for prescription eye drops under contracts that are issued or delivered in the State.</text>
    </level>
  </level>
  <level label="b">
    <text>An entity subject to this section shall provide coverage for a refill of prescription eye drops:</text>
    <level label="1">
      <text>in accordance with guidance for early refills of topical ophthalmic products provided to Medicare Part D plan sponsors by the Centers for Medicare and Medicaid Services; and</text>
    </level>
    <level label="2">
      <text>if:</text>
      <level label="i">
        <text>the prescribing health care practitioner indicates on the original prescription that additional quantities of the prescription eye drops are needed;</text>
      </level>
      <level label="ii">
        <text>the refill requested by the insured does not exceed the number of additional quantities indicated on the original prescription by the prescribing health care practitioner; and</text>
      </level>
      <level label="iii">
        <text>the prescription eye drops prescribed by the health care practitioner are a covered benefit under the policy or contract of the insured.</text>
      </level>
    </level>
  </level>
</section>
