Wednesday, September 6, 2017

Florida law says insurers must authorize early prescription refills before Hurricane Irma

Posted By on Wed, Sep 6, 2017 at 11:02 AM

click to enlarge medications.jpg

As you stock up on water, sandbags, PB+J makings, etc., don't forget to refill any prescriptions you might need. Even if you aren't due for a refill, the state Office of Insurance Regulation has issued a notice to all health care providers that they are obligated to waive time restrictions of prescription refills.

By statute, in the event of a declared state of emergency or a National Weather Service hurricane warning, insurers must authorize payment to pharmacies for at least a 30-day supply of prescribed medications. This statutory obligation has kicked in with the Governor’s Executive Order for Hurricane Irma, and Florida residents may refill their prescriptions early in all 67 counties.

The memo to insurers reads as follows:

Hurricane Irma – Early Prescription Refill Reminder Notice
DATE: September 5, 2017
TO: All Health Insurers, Managed Care Organizations and Other Health Entities
RE: Florida Law Reminder for Early Prescription Refills
DECLARATION OF EMERGENCY BY GOVERNOR
This notice is a reminder that all health insurers, managed care organizations and other health entities must comply with the provisions of section 252.358, Florida Statutes, which allows for early prescription refills in the event that the Governor issues an Executive Order declaring a State of Emergency or when a county Emergency Operations Center (EOC) is activated. This mandate remains in effect until the Governor’s Executive Order is rescinded or expires. See below for reference materials:

Florida Statute language:
Section 252.358 - Emergency-preparedness prescription medication refills.
—All health insurers, managed care organizations, and other entities that are licensed by the Office of Insurance Regulation and provide prescription medication coverage as part of a policy or contract shall waive time restrictions on prescription medication refills, which include suspension of electronic “refill too soon” edits to pharmacies, to enable insureds or subscribers to refill prescriptions in advance, if there are authorized refills remaining, and shall authorize payment to pharmacies for at least a 30-day supply of any
prescription medication, regardless of the date upon which the prescription had most recently been filled by a pharmacist, when the following conditions occur:

(1) The person seeking the prescription medication refill resides in a county that:
(a) Is under a hurricane warning issued by the National Weather Service;
(b) Is declared to be under a state of emergency in an executive order issued by the Governor; or
(c) Has activated its emergency operations center and its emergency management plan.
(2) The prescription medication refill is requested within 30 days after the origination date of the conditions stated in this section or until such conditions are terminated by the issuing authority or no longer exist. The time period for the waiver of prescription medication refills may be extended in 15- or 30-day increments by emergency orders issued by the Office of Insurance Regulation. This section does not excuse or exempt an insured or subscriber from compliance with all other terms of the policy or contract providing prescription medication coverage. This section takes effect July 1, 2006.

The Governor has issued an emergency order for all counties and many counties have activated their EOC's.

PLEASE BE GOVERNED ACCORDINGLY





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