La. Admin. Code tit. 40 § I-3115

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-3115 - Covered Services

A. Only optical services necessitated by an occupational injury or illness are covered. Such services are provided as a result of damage to the eye(s) due to a work injury or exposure. In addition, frames, lenses and contact lenses not originally purchased by the carrier/self-insured employer will be replaced if damaged or broken in a work-related accident, in accordance with the provisions of R.S. 23:1203.

B.

1. There are three distinct types of services provided:

a. professional service;

b. optical fitting service; and

c. eye appliance.

2. Ophthalmologists may provide all three services. Opticians may provide optical fittings and appliances only.

C. Follow-Up Services. The reimbursement allowed for contact lenses shall include the normal follow-up to check for proper fit, vision correction and comfort. Any other follow-up services routinely provided free of charge by the vendor to other patients or customers shall be provided free of charge to workers' compensation claimants.

La. Admin. Code tit. 40, § I-3115

Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.