Terms Used In Michigan Laws 500.3406w

  • Health insurance policy: means an expense-incurred hospital, medical, or surgical policy, certificate, or contract. See Michigan Laws 500.608
  • Insurer: means an individual, corporation, association, partnership, reciprocal exchange, inter-insurer, Lloyds organization, fraternal benefit society, or other legal entity, engaged or attempting to engage in the business of making insurance or surety contracts. See Michigan Laws 500.106
  • person: may extend and be applied to bodies politic and corporate, as well as to individuals. See Michigan Laws 8.3l
  • state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories belonging to the United States; and the words "United States" shall be construed to include the district and territories. See Michigan Laws 8.3o
  (1) Beginning on the effective date of the amendatory act that added this section, an insurer that delivers, issues for delivery, or renews in this state a health insurance policy that provides coverage for prescription drugs shall do both of the following:
  (a) Provide coverage for an emergency refill of up to a 60-day supply of any covered maintenance prescription drug.
  (b) Provide coverage for an early refill of any 30-day or 60-day covered maintenance prescription drug to allow for up to a 90-day supply, without regard to whether the pharmacy is mail order or in person.
  (2) This section does not apply after March 31, 2021.
  (3) As used in this section:
  (a) “Emergency refill” means a refill where, in the pharmacist’s professional judgment, failure to refill the prescription may interrupt the patient’s ongoing care and have a significant adverse effect on the patient’s well-being as provided in section 17713 of the public health code, 1978 PA 368, MCL 333.17713.
  (b) “Maintenance prescription drug” means a prescription drug that meets the requirements under section 3406t(1)(b)(i) to (iii).