A health care insurer that offers, issues, delivers, or renews a health care insurance plan in the individual or group market in the state that provides coverage for prescription drugs for which cost sharing, deductibles, or copayment obligations are determined by unique categories or specialty tiers may impose cost sharing, deductibles, or copayment obligations for a unique category or specialty tier prescription drug that exceed the dollar amount of cost sharing, deductibles, or copayment obligations, as applicable, for a nonpreferred brand drug or the drug's equivalent, but only if the insurer notifies the insured of the cost sharing, deductible, or copayment terms applicable to unique categories or specialty tiers at least 90 days before the terms apply.
Structure Alaska Statutes
Chapter 42. The Insurance Contract
Article 2. Specific Coverage Provisions.
Sec. 21.42.345. Required provision for coverage of dependents.
Sec. 21.42.347. Coverage for costs of birth.
Sec. 21.42.349. Coverage for newborn and infant hearing screening.
Sec. 21.42.351. Coverage for well-baby exams.
Sec. 21.42.353. Coverage for the costs of acupuncture treatment.
Sec. 21.42.355. Coverage for cost of services provided by certified nurse midwives.
Sec. 21.42.363. Eye care under health insurance.
Sec. 21.42.365. Coverage for treatment of alcoholism or drug abuse.
Sec. 21.42.375. Coverage for mammograms.
Sec. 21.42.377. Coverage for colorectal cancer screening.
Sec. 21.42.380. Coverage for treatment of phenylketonuria.
Sec. 21.42.385. Dental, vision, and hearing coverage.
Sec. 21.42.390. Coverage for treatment of diabetes.
Sec. 21.42.392. Requirements relating to dental care coverage provisions.
Sec. 21.42.395. Coverage for prostate and cervical cancer detection.
Sec. 21.42.397. Coverage for autism spectrum disorders.
Sec. 21.42.400. Coverage for reconstructive surgery following mastectomy.
Sec. 21.42.405. High deductible health plan.
Sec. 21.42.410. Coverage of dependent students on medically necessary leaves of absence.
Sec. 21.42.415. Coverage for clinical trials related to cancer.
Sec. 21.42.420. Coverage for prescription drugs; specialty drug tiers prohibited.
Sec. 21.42.422. Coverage for telehealth.
Sec. 21.42.425. Coverage for prescription topical eye medication.
Sec. 21.42.430. Coverage for anti-cancer medication.
Sec. 21.42.440. Coverage for costs of services provided by pharmacists.