MO SB692

Prohibits insurers, vision insurance entities, health carriers, and health benefit plans from requiring optometrists to provide services or materials at fees limited by the plan unless those services or materials are reimbursed as covered services under the contract.

Requires providers to charge noncovered services and materials at their usual and customary rates, not at discounted rates.

Mandates that contractual discounts cannot reduce fees below what the plan would pay for covered services after deductibles, co-payments, or coinsurance are applied.

Requires reimbursement for covered services and materials to be reasonable and prohibits insurers from providing merely nominal reimbursement to circumvent the statute's requirements.

Exempts plans and provider contracts for optometric or ophthalmic services underwritten by health benefit plans or health carriers subject to chapters 354 or 376 as of January 1, 2014.