Section 27-56-1 – Short Title.

Section 27-56-1 Short title. This chapter shall be known and may be cited as the “Access to Eye Care Act.” (Act 2001-477, p. 640, §1.)

Section 27-56-10 – Vision Care Providers – Contract Requirements; Rates; Reimbursements; Discounts.

Section 27-56-10 Vision care providers – Contract requirements; rates; reimbursements; discounts. (a) As used in this section, the following words shall have the following meanings: (1) CONTRACTUAL DISCOUNT. A percentage reduction from a provider’s usual and customary rate for covered services and materials required under a participating provider agreement. (2) COVERED MATERIALS. Materials for which […]

Section 27-56-2 – Definitions.

Section 27-56-2 Definitions. As used in this chapter, the following terms shall have the following meanings: (1) COVERED PERSON. Any individual, family, or family member on whose behalf third-party payment or prepayment of health or medical expenses is provided under an insurance policy, plan, or contract providing for third-party payment or prepayment of health care […]

Section 27-56-3 – Payment for Services.

Section 27-56-3 Payment for services. An insurance policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses shall include a provision for the payment to a licensed optometrist for each service which falls within the scope of the optometrist’s license, if the policy, plan, or contract pays for the same […]

Section 27-56-4 – Prohibited Activities.

Section 27-56-4 Prohibited activities. An insurance policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses shall not do any of the following: (1) Impose a practice restriction for optometrists which is inconsistent with or more restrictive than provided by law. (2) Discriminate between classes of eye care providers with […]

Section 27-56-5 – Third-Party Payment.

Section 27-56-5 Third-party payment. (a) No insurance policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses that provides coverage for eye care services shall be issued or renewed after August 1, 2001, unless such insurance policy, plan, or contract does the following: (1) Provides a covered person direct access […]

Section 27-56-6 – When Provisions Applicable.

Section 27-56-6 When provisions applicable. This chapter shall apply to services provided under a policy, plan, or contract providing for third-party payment or prepayment of health or medical expenses delivered, continued, or renewed in this state on or after August 1, 2001, and to any such existing policy, plan, or contract, on its anniversary or […]

Section 27-56-7 – Applicability to Certain Providers.

Section 27-56-7 Applicability to certain providers. (a) This chapter does not require and shall not be construed to require any insurance policy, plan, or contract to provide health care coverage for eye care. The provisions of this chapter are applicable only to those insurance policies, plans, or contracts which provide coverage for eye care. (b) […]

Section 27-56-8 – Implementation of Coverage.

Section 27-56-8 Implementation of coverage. (a) Any insurance policy, plan, or contract that provides coverage for eye care services may contain provisions for maximum benefits and coinsurance limitations, deductibles, exclusions, and utilization review protocols to the extent that these provisions are not inconsistent with the requirements of this chapter. (b) If eye care coverage is […]

Section 27-56-9 – Scope of Practice.

Section 27-56-9 Scope of practice. Nothing in this chapter shall be construed to expand the scope of practice for any eye care provider. (Act 2001-477, p. 640, § 11.)