Prohibited provisions in contract between provider of vision insurance and provider of vision care; provider of vision insurance required to provide list of reimbursement rates to provider of vision care before entering contract; provider of vision insurance required to disclose pecuniary interest in supplier of materials or provider of vision care; prohibited advertisements by provider of vision insurance related to coverage; provider of vision care required to disclose pecuniary interest in supplier; use of in-network source or supplier not prohibited.
Nev. Rev. Stat. § 686A.298
in effect1. A provider of vision insurance shall not enter into a contract with a provider of vision care that:
(a) Authorizes the provider of vision insurance to set or limit the amount that the provider of vision care may charge for vision care that is not reimbursed under the contract;
(b) Requires the provider of vision care to use a specific laboratory as the manufacturer of materials provided to enrollees; or
(c) Conditions any rate of reimbursement for vision care on the provider of vision care prescribing materials in which the provider of vision insurance has an ownership or other pecuniary interest or increases the rate of reimbursement if the provider of vision care prescribes such materials.
2. Before entering into a contract with a provider of vision care to include the provider of vision care in the network of a provider of vision insurance, the provider of vision insurance must provide to the provider of vision care a list of the rates of reimbursement for each service covered by the contract.
3. A provider of vision insurance shall disclose in any vision benefit plan or vision benefit discount plan or any description of benefits covered by such a plan, whether written or electronic, any ownership or other pecuniary interest of the provider of vision insurance in a supplier of materials or a provider of vision care. The disclosure must appear in a conspicuous and clear manner.
4. A provider of vision insurance that does not provide reimbursement for specific vision care shall not claim in any advertisement or other material that the provider of vision insurance covers that vision care if such vision care is available at a discount or with a copayment or coinsurance in an amount that is in addition to the copayment or coinsurance that an enrollee is typically required to pay for covered services.
5. A provider of vision care shall disclose in writing to any enrollee under a vision benefit plan or vision benefit discount plan any ownership or other pecuniary interest of the provider of vision care in a supplier of materials, including, without limitation, a general disclosure of any rebates or rewards programs, before the enrollee authorizes the provider of vision care to obtain covered materials from such a supplier or laboratory that is not contracted with the provider of vision insurance providing the vision benefit plan or vision benefit discount plan. The disclosure must appear in a conspicuous and clear manner.
6. Nothing in this section shall be construed to prohibit an enrollee from using an in-network source or supplier of materials as set forth in the vision benefit plan or vision benefit discount plan of the enrollee.
Source: NV Statutes (Official Site)URL: https://www.leg.state.nv.us/nrs/NRS-686A.htmlFetched: 10/4/2026