215 ILCS 161/40: Prohibitions; medical plan preconditions.

(Text of Section before amendment by P.A. 104-851)

(a) No vision care organization that issues, delivers, amends, or renews a vision care plan on or after the effective date of this Act shall issue a vision care plan contract that requires:

(1) an eye care provider to contract with a plan that offers supplemental or specialty health care services as a condition of contracting with a plan that offers basic health services; or

(2) an eye care provider to contract with a vision care plan as a condition to participation in a medical plan or in-network.

(b) A vision care plan may enter into an agreement with a health care plan to deliver routine vision care services that are covered under the enrollee's plan.

(c) A vision care plan may act as a network regarding routine vision care services offered by a health care plan.

(Text of Section after amendment by P.A. 104-851)

Prohibitions; medical plan preconditions.

(a) No vision care organization that issues, delivers, amends, or renews a provider agreement on or after the effective date of this amendatory Act of the 104th General Assembly shall issue a provider agreement that requires:

(1) an eye care provider to participate in a plan that offers supplemental or specialty health care services as a condition of entering into or maintaining a provider agreement relating to a plan that offers basic health services; or

(2) an eye care provider to participate in a vision care plan as a condition to participation in a medical plan or in-network.

(b) A vision care organization may enter into an agreement with a health care plan to deliver routine vision care services that are covered under the enrollee's plan.

(c) A vision care organization may administer a network regarding routine vision care services offered by a health care plan.