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医疗保险下的验光配镜平价立法。

Optometric parity legislation under Medicare.

作者信息

Garland N

出版信息

J Am Optom Assoc. 1987 Jun;58(6):518-9.

PMID:3305674
Abstract

On April 1, 1987, optometrists became eligible for reimbursement under Medicare for the services optometrists are authorized to provide under the laws of the state in which this service is performed. The optometric parity language did not expand or change the current coverage and reimbursement rules, but rather expanded which providers could be reimbursed under Medicare. For the service to be covered by Medicare, the service must be one which is currently covered by Medicare if furnished by a doctor of medicine or osteopathy, and must be within the services the optometrist is authorized to perform under the licensure laws of the state in which the service is performed. Optometric parity was included as part of the Omnibus Reconciliation Act of 1986, which was signed by President Reagan on October 21, 1986.

摘要

1987年4月1日起,验光师在医疗保险计划下,就其依据服务实施所在州法律被授权提供的服务而言,有资格获得报销。验光师同等权益条款并未扩大或改变当前的承保范围及报销规则,而是扩大了医疗保险计划下可获得报销的提供者范围。若要使某项服务能被医疗保险计划承保,该服务必须是若由医学博士或骨科医生提供时目前已被医疗保险计划承保的服务,并且必须属于验光师依据服务实施所在州的执业许可法被授权执行的服务范围。验光师同等权益条款被纳入1986年《综合预算协调法案》,该法案于1986年10月21日由里根总统签署。

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