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MO HB202
Bill
Status
4/28/2015
Primary Sponsor
Lynn Morris
Click for details
AI Summary
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Health carriers and vision insurers cannot require optometrists to provide services or materials at plan-set fees unless those services are reimbursed as covered services under the contract
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Providers are prohibited from charging patients more than their usual and customary rates for services or materials not covered under a health benefit or vision plan
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Reimbursement for covered services must be reasonable; health carriers cannot offer nominal or de minimis reimbursement to circumvent the law's requirements
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Vision insurance policies and discount plans cannot directly or indirectly limit patients' choice of sources and suppliers for materials like lenses, frames, contact lenses, and prosthetic devices
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Adds new section 376.685 to Missouri Revised Statutes Chapter 376, applying to stand-alone vision plans, medical plans, health benefit plans, and health insurance policies
Legislative Description
Prohibits a health insurance plan from requiring an optometrist to provide additional services or materials at a limited or lower fee unless the services are reimbursed as covered services under the contract
Last Action
Second read and referred: Senate Small Business, Insurance, and Industry(S)
4/29/2015