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- 2023 Edition
- Title 56. Insurance
- Chapter 743b. Health Benefit Plans: Individual and Group
- Contracted Health Care Providers
ORS 743B.406 Vision Care Providers
Library | Oregon Statutes |
Edition | 2023 |
Currency | Current through legislation effective January 1, 2024 |
Year | 2023 |
Citation | ORS 743B.406 |
(1) As used in this section:
(a) "Contractual discount" means a percentage reduction, required under a contract with an insurer, in a vision care provider's usual and customary rate for vision care services and materials.
(b) "Discount card" means a card or other purchasing mechanism or device that is not insurance or a discount medical plan, as defined in ORS 742.420, that purports to offer discounts or access to discounts in health-related purchases from health care providers.
(c) "Materials" includes, but is not limited to:
(A) Lenses;
(B) Devices containing lenses;
(C) Contact lenses;
(D) Prisms;
(E) Lens treatments and contact lens coatings;
(F) Orthopedic or prosthetic devices to correct, relieve or treat defects or abnormal conditions of the human eye or adnexa; and
(G) Vision training.
(d) "Vision care insurance" means a health benefit plan or a policy or certificate of insurance that covers vision care services and materials.
(e) "Vision care provider" includes:
(A) A person licensed to practice optometry under ORS chapter 683; and
(B) A physician licensed under ORS 677.100 to 677.228 to practice medicine who has completed a residency program in ophthalmology.
(f) "Vision care services" means services provided by a vision care provider within the scope of the provider's license to practice optometry or ophthalmology.
(2) A contract between a vision care provider and an entity that offers vision care insurance or a vision care discount card may not:
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