HB 202 Prohibits a health carrier or other insurer that writes vision insurance from requiring an optometrist to provide services or materials at a discount that are not covered and reimbursed under the plan

Current Bill Summary

- Prepared by Senate Research -


HB 202 - This act prohibits an agreement, for the provision of services, between a health carrier or other insurer that writes vision insurance and an optometrist from requiring an optometrist to provide additional services or materials at a fee limited or set by the plan or carrier unless the services or materials are reimbursed as covered services under the contract. A provider is prohibited from charging more for services or materials that are not covered under a health benefit or vision plan than the usual and customary rate charged for those services or materials. The reimbursement paid by the health benefit or vision plan for covered services or materials must be reasonable and cannot provide nominal reimbursement in order to claim a service or material is a covered service. This act prohibits a vision care insurance policy or vision care discount plan that provides covered services for materials from having the effect, directly or indirectly, of limiting the choice of sources and suppliers of materials by a patient of a vision care provider.

This act is substantially similar to SB 692 (2014).

MICHELA BIRK


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