§ 23-99-301. Short title
This subchapter shall be known and may be cited as the “Primary Eye Care Provider Act”.
This subchapter shall be known and may be cited as the “Primary Eye Care Provider Act”.
As used in this subchapter: (1) “Covered persons” means any individual or family that is enrolled in a health benefit plan or policy from a healthcare insurer and on whose behalf the healthcare insurer is obligated to pay for or provide eye and/or vision care benefits; (2) “Covered service” means those healthcare services, including eye […]
A health benefit plan that includes, or may include, eye and/or vision care benefits shall: (1) Include all primary eye care providers who are selected by covered persons of the health benefit plan for the provision of all eye and/or vision care benefits provided by the health benefit plan; (2) Permit any licensed optometrist or […]
Nothing in this subchapter shall prevent any person covered by a health benefit plan from receiving emergency eye care nor shall it prevent any person from exercising his or her right to receive treatment from his or her personal doctor and being reimbursed in accordance with the terms and fee schedule of the health benefit […]
Any person adversely affected by a violation of this subchapter may bring action in a court of competent jurisdiction for injunctive relief against the healthcare insurer and, upon prevailing, in addition to such injunctive relief, shall recover damages not less than one thousand dollars ($1,000) plus attorney’s fees and costs.