- (1) The MedAccess program shall not cover benefits that are provided as part of workers' compensation insurance.
(2) The MedAccess program shall exclude coverage for preexisting conditions, except pregnancy, during a period of 12 months following the effective date of coverage as long as:
- (a) The condition manifested itself within a period of 6 months before the effective date of coverage; or
- (b) Medical advice or treatment was recommended or received within 6 months before the effective date of coverage.
- (3) In addition to the limitations otherwise provided in ss. 408.901-408.908, the MedAccess program shall not include coverage for outpatient prescription drugs, eyeglasses, dental services, custodial care, or emergency services for nonemergent conditions.
- (4) Any member of the MedAccess program who is determined to be at "high risk" by a participating primary care provider shall, upon renewal, agree to be placed in a case management system when it is determined by the program to be in the best interest of the member and the MedAccess program.
- (5) No person on whose behalf the program has paid out $500,000 in covered benefits is eligible for continued coverage in the MedAccess program.
History.--s. 43, ch. 93-129.