LD 1325
pg. 12
Page 11 of 12 PUBLIC Law Chapter 401 LD 1325 Title Page
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LR 1609
Item 1

 
2-A. Low-cost drugs for the elderly or disabled program. An
issuer that offers standardized plans that include prescription
drug benefits shall permit an insured who has a plan from the
same issuer without prescription drug benefits to purchase a plan
with prescription drug benefits under the following
circumstances:

 
A. The insured was covered under the low-cost drugs for the
elderly or disabled program established by Title 22, former
section 254 or section 254-D;

 
B. The insured applies for a plan with prescription drug
coverage within 90 days after losing eligibility for the
low-cost drugs for the elderly or disabled program
established by Title 22, former section 254 or section 254-
D; and

 
C. The insured either:

 
(1) Had a Medicare supplement plan with prescription
drug benefits from the same issuer prior to enrolling
in the low-cost drugs for the elderly or disabled
program established by Title 22, former section 254 or
section 254-D; or

 
(2) Is entitled to continuity of coverage pursuant to
subsection 1 and has had prescription drug benefits,
through either a Medicare supplement plan or the low-
cost drugs for the elderly or disabled program
established by Title 22, section 254 254-D, since the
insured's open enrollment period with no gap in
prescription drug coverage in excess of 90 days.

 
The purchase of a plan with prescription drug benefits by an insured
pursuant to this subsection does not affect eligibility for coverage
under the low-cost drugs for the elderly or disabled program established
by Title 22, section 254 254-D if the insured is not covered by a
Medicare supplement plan with prescription drug benefits at the time of
reapplying for coverage under the low-cost drugs for the elderly or
disabled program established by Title 22, section 254 254-D.


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