Arizona Revised Statutes Title 20. Insurance § 20-849. Contracts; optometrists; covered services; definition

A. Except as provided in subsection C of this section, a contract, entered into or renewed on or after January 1, 2022, between an optometric service corporation and an optometrist who is licensed to practice in this state shall not:

B. This section applies to an administrator providing third-party administration services or a provider network for a vision plan.

C. This section does not restrict the ability of an optometric service corporation to enter into a contract for an optometrist to participate in a discount program sponsored by the optometric service corporation for services that are not covered if:

D. Notwithstanding subsection C, paragraph 2, subdivision (d) of this section, an optometric service corporation, when providing a typically formatted list of optometrists in the optometric service corporation network, may identify whether an optometrist participates in a discount program for services not covered by the optometric service corporation if all lists state that other discounts may be available with individual optometrists.

E. All contracts shall be in compliance with this section by the first renewal period on or after January 1, 2022, but not later than December 31, 2022.

F. For the purposes of this section, “covered service” means a service for which any reimbursement is available under a subscription contract without regard to contractual limitations by a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, exclusion or other limitation.