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386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1357.001 Definitions
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Sec. 1357.001. DEFINITIONS. In this subchapter: (1) "Breast reconstruction" means reconstruction of a breast incident to mastectomy to restore or achieve breast symmetry. The term includes surgical reconstruction of a breast on which mastectomy has been performed and surgical rec…
Tex. Insurance Code § 1357.002 Applicability of Subchapter
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Sec. 1357.002. APPLICABILITY OF SUBCHAPTER. This subchapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insur…
Tex. Insurance Code § 1357.003 Exception
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Sec. 1357.003. EXCEPTION. This subchapter does not apply to: (1) a plan that provides coverage: (A) only for a specified disease or another limited benefit, other than benefits for cancer; (B) only for accidental death or dismemberment; (C) only for wages or payments in lieu of w…
Tex. Insurance Code § 1357.004 Coverage Required
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Sec. 1357.004. COVERAGE REQUIRED. (a) A health benefit plan that provides coverage for mastectomy must provide coverage for: (1) reconstruction of the breast on which the mastectomy has been performed; (2) surgery and reconstruction of the other breast to achieve a symmetrical ap…