Sec. 21.42.430. Coverage for anti-cancer medication.

AK Stat § 21.42.430 (2019) (N/A)

Copy with citation

Copy as parenthetical citation

(a) Except for a fraternal benefit society, a health care insurer that offers, issues for delivery, delivers, or renews in this state a health care insurance plan that provides coverage for anti- cancer medications that are injected or intravenously administered by a health care provider and patient-administered anti-cancer medications, including those orally administered or self-injected, may not require a higher copayment, deductible, or coinsurance amount for a patient-administered medication than it requires for an anti- cancer medication injected or intravenously administered by a health care provider, regardless of the formulation or benefit category determination by the policy or plan.

(b) A health care insurer may not offset the costs of compliance with (a) of this section by

(1) increasing the copayment, deductible, or coinsurance amount required for anti-cancer medications injected or intravenously administered by a health care provider that are covered under the health insurance plan; or

(2) reclassifying benefits with respect to anti-cancer medications.

(c) Nothing in this section prohibits a health care insurance plan from requiring different cost-sharing rates for in-network and out-of-network providers or pharmacies.

(d) In this section, “anti-cancer medication” means a drug or biologic used to kill cancerous cells, to slow or prevent the growth of cancerous cells, or to treat related side effects.

Previous Section

Sec. 21.42.425. Coverage for prescription topical eye medication.

Next Section

Sec. 21.42.599. Definitions.