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2018 Arkansas Code
Title 23 - Public Utilities and Regulated Industries
Subtitle 3 - Insurance
Chapter 99 - Healthcare Providers
Subchapter 10 - Vision Care Plan Act of 2015
§ 23-99-1002. Definitions

Universal Citation:
AR Code § 23-99-1002 (2018)
Learn more This media-neutral citation is based on the American Association of Law Libraries Universal Citation Guide and is not necessarily the official citation.
  • As used in this subchapter:
  • (1) "Covered materials" means materials for which reimbursement from the insurer, vision care plan, or vision care discount plan is provided to a vision care provider by an individual's vision benefit plan or contract and that are reimbursable subject to a deductible, copayment, coinsurance, or other contractual limitations;

  • (2) "Covered services" means services for which reimbursement from the insurer, vision care plan, or vision care discount plan is provided to a vision care provider by an individual's vision benefit plan or contract and that are reimbursable subject to a deductible, copayment, coinsurance, or other contractual limitations;

  • (3) "Insurer" means an insurance company, a health maintenance organization, a hospital and medical service corporation, or a self-insured health plan for employees of a governmental entity;

  • (4) "Materials" means ophthalmic devices, including without limitation:

    • (A) Lenses;

    • (B) Devices containing lenses;

    • (C) Artificial intraocular lenses;

    • (D) Ophthalmic frames;

    • (E) Lens-mounting apparatus;

    • (F) Prisms;

    • (G) Spectacle or contact lens treatments and coatings; and

    • (H) Prosthetic devices to correct, relieve, or treat defects or abnormal conditions of the human eye or its adnexa;

  • (5) "Noncovered materials" means materials that are not covered by an insurer, a vision care plan, or a vision care discount plan;

  • (6) "Noncovered services" means services that are not covered by an insurer, a vision care plan, or a vision care discount plan;

  • (7) "Participating provider agreement" means an agreement between a vision care provider and an insurer that obligates a vision care provider to provide for compensation services and materials to an individual who is insured by the insurer;

  • (8) "Services" means benefits or services provided by a vision care provider;

  • (9) "Vision benefit plan or contract" means a plan, contract, or policy of insurance issued by an insurer that provides for vision care benefits or services;

  • (10) "Vision care discount plan" means a separate plan to provide benefits or services under a rider to a health benefit plan or as a stand-alone agreement that is authorized by a vision care provider to provide discounts to individuals under the Primary Eye Care Provider Act, § 23-99-301 et seq.;

  • (11) "Vision care plan" means an entity that provides health benefits and that creates, promotes, sells, provides, advertises, or administers an integrated or stand-alone vision benefit plan or contract; and

  • (12) "Vision care provider" means an individual licensed as an optometrist under § 17-90-301 et seq., or a licensed osteopathic or medical physician licensed under § 17-91-101 et seq. or § 17-95-401 et seq., if the physician has also completed a residency in ophthalmology.

Disclaimer: These codes may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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