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Section 26:2S-10.5 - Contract between carrier and vision care provider, fees permissible.

NJ Rev Stat § 26:2S-10.5 (2019) (N/A)
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26:2S-10.5 Contract between carrier and vision care provider, fees permissible.

2. a. No contract between a carrier or a vision care plan and a vision care provider may seek to or require that a vision care provider provide services or materials at a fee limited or set by the carrier or vision care plan unless the services or materials are reimbursed as covered services or covered materials under the contract.

b. A vision care provider shall not charge more for services and materials that are noncovered services or noncovered materials to an enrollee of a vision care plan or carrier than the provider's usual and customary rate for those services and materials.

L.2017, c.264, s.2.

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Section 26:2S-10.4 - Optometrist not required to participate in certain plans.
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Section 26:2S-10.6 - Vision care provider, choice of sources, providers.