Illinois Compiled Statutes 215 ILCS 5/356z.61 – Coverage of pharmacy testing, screening, vaccinations, and treatment
Current as of: 2024 | Check for updates
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A group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2025 shall provide coverage for health care or patient care services provided by a pharmacist if:
(1) the pharmacist meets the requirements and scope
(1) the pharmacist meets the requirements and scope
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of practice described in paragraph (15), (16), or (17) of subsection (d) of Section 3 of the Pharmacy Practice Act;
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(2) the health plan provides coverage for the same
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service provided by a licensed physician, an advanced practice registered nurse, or a physician assistant;
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(3) the pharmacist is included in the health benefit
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plan’s network of participating providers; and
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(4) reimbursement has been successfully negotiated in
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good faith between the pharmacist and the health plan.
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Terms Used In Illinois Compiled Statutes 215 ILCS 5/356z.61
- individual: shall include every infant member of the species homo sapiens who is born alive at any stage of development. See Illinois Compiled Statutes 5 ILCS 70/1.36