Sec. 3406u.
(1) An insurer that delivers, issues for delivery, or renews in this state a health insurance policy that provides coverage for prescription eyedrops shall not deny coverage for a refill of the prescription if all of the following apply:
(a) For a 30-day supply, the amount of time has passed within which the insured should have used 75% of the dosage units of the drug according to the prescriber's instructions, or 23 days have passed after either of the following:
(i) The original date the prescription was distributed to the insured.
(ii) The date the most recent refill was distributed to the insured.
(b) The prescriber indicates on the original prescription that additional quantities are needed.
(c) The prescription eye drops prescribed by the prescriber are covered under the health insurance policy.
(2) As used in this section, "prescriber" means that term as defined in section 17708 of the public health code, 1978 PA 368, MCL 333.17708.
History: Add. 2019, Act 139, Imd. Eff. Dec. 5, 2019 Compiler's Notes: Enacting section 1 of Act 139 of 2019 provides:"Enacting section 1. This amendatory act applies to health insurance policies delivered, executed, issued, amended, adjusted, or renewed in this state, or outside of this state if covering residents of this state, beginning 90 days after the date this amendatory act is enacted into law."Ninety days after the enactment date of Act 139 of 2019 is March 4, 2020.Popular Name: Act 218
Structure Michigan Compiled Laws
Chapter 500 - Insurance Code of 1956
Act 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302)
218-1956-34 - Chapter 34 Disability Insurance Policies (500.3400...500.3480)
Section 500.3400 - Definitions; Scope of Chapter, Exemptions, Exceptions.
Section 500.3401 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3401a - Group Disability Insurance; Issuance; Filing and Approval of Form.
Section 500.3402 - Disability Insurance Policy; Provisions Required.
Section 500.3402a - Group Disability Insurance Policy; Provisions Required.
Section 500.3402c - Family Expense Insurance Policy.
Section 500.3402d - Blanket Disability Insurance; Coverage.
Section 500.3402e - Blanket Disability Insurance Policies; Issuance.
Section 500.3402f - Blanket Disability Insurance Policy; Provisions.
Section 500.3402g - Blanket Disability Insurance Policy; Certificate; Payment of Benefits.
Section 500.3402h - Legal Liability of Policyholder.
Section 500.3404 - Insurance Policy Issued for Delivery to Nonresident.
Section 500.3405a - Use of Most Favored Nation Clause.
Section 500.3406a - Reconstructive Surgery Following Mastectomy; Prosthetic Device.
Section 500.3406b - Coverage for Mental Health Services by Mental Health Care Provider.
Section 500.3406c - Hospice Care; Definition; Description of Coverage.
Section 500.3406f - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3406g - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3406l - Medical Transportation Services; Reimbursement; Exception.
Section 500.3406m - Access by Insured to Obstetrician-Gynecologist.
Section 500.3406n - Access to Pediatric Care Services.
Section 500.3406t - Synchronizing Insured's or Enrollee's Multiple Maintenance Prescription Drugs.
Section 500.3406u - Coverage for Prescription Eyedrops; Requirements; "Prescriber" Defined.
Section 500.3406v - Coverage for Emergency Supply of Insulin.
Section 500.3406x - Nonopioid Directive Form; Website.
Section 500.3406y - Nonopioid Directive Form; Enrollment.
Section 500.3407 - Entire Contract; Changes.
Section 500.3408 - Time Limit on Certain Defenses; Incontestable Policy.
Section 500.3410 - Grace Period; Provision Required.
Section 500.3411 - Reinstatement; Provision Required.
Section 500.3412 - Notice of Claim; Provision Required.
Section 500.3413 - Claim Forms; Provision Required.
Section 500.3414 - Proofs of Loss; Provision Required.
Section 500.3416 - Time of Payment of Claims; Provision Required.
Section 500.3418 - Payment of Claims; Provision Required.
Section 500.3420 - Physical Examinations and Autopsy; Provision Required.
Section 500.3422 - Legal Actions; Provision Required.
Section 500.3424 - Change of Beneficiary; Provision Required.
Section 500.3426 - Offer of Wellness Coverage by Insurer.
Section 500.3428 - Provider Network.
Section 500.3430 - Optional Policy Provisions; Insurance Commissioner's Approval.
Section 500.3432 - Change of Occupation; Optional Provision.
Section 500.3434 - Misstatement of Age; Optional Provision.
Section 500.3436 - Other Insurance With Same Insurer; Optional Provision.
Section 500.3438 - Insurance With Other Insurers; Optional Provision; Expense Incurred Benefits.
Section 500.3439 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.
Section 500.3440 - Insurance With Other Insurers; Other Benefits.
Section 500.3444 - Relation of Earnings to Insurance; Optional Provision.
Section 500.3446 - Unpaid Premium; Optional Provision.
Section 500.3448 - Cancellation; Optional Provision.
Section 500.3450 - Conformity With State Statutes; Optional Provision.
Section 500.3452 - Illegal Occupation or Criminal Activity; Optional Provision; Definitions.
Section 500.3454 - Repealed. 1980, Act 429, Eff. Mar. 31, 1981.
Section 500.3460 - Order of Certain Policy Provisions.
Section 500.3462 - Third Party Ownership of Policy.
Section 500.3466 - Filing Procedure; Insurance Commissioner, Regulatory Powers.
Section 500.3468 - Provisions Violating Code; Construction of Noncomplying Policies and Provisions.
Section 500.3470 - Age of Insured; Provision Regulations.
Section 500.3474 - Risk Classification; Rates; Filing Requirements.
Section 500.3474a - Premium Rate After January 1, 2014; Basis; Factors.
Section 500.3476 - Telemedicine Services; Provisions; Definitions.
Section 500.3480 - Repealed. 1963, Act 127, Eff. Sept. 6, 1963.