386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1371.001 Definitions
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Sec. 1371.001. DEFINITIONS. In this chapter: (1) "Enrollee" means an individual entitled to coverage under a health benefit plan. (2) "Orthotic device" means a custom-fitted or custom-fabricated medical device that is applied to a part of the human body to correct a deformity, im…
Tex. Insurance Code § 1371.002 Applicability of Chapter
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Sec. 1371.002. APPLICABILITY OF CHAPTER. (a) This chapter applies only to a health benefit plan, including a small employer health benefit plan written under Chapter 1501 or coverage provided by a health group cooperative under Subchapter B of that chapter, that provides benefits…
Tex. Insurance Code § 1371.003 Required Coverage For Prosthetic Devices, Orthotic Devices, and Related Services
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Sec. 1371.003. REQUIRED COVERAGE FOR PROSTHETIC DEVICES, ORTHOTIC DEVICES, AND RELATED SERVICES. (a) A health benefit plan must provide coverage for prosthetic devices, orthotic devices, and professional services related to the fitting and use of those devices that equals the cov…
Tex. Insurance Code § 1371.004 Preauthorization
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Sec. 1371.004. PREAUTHORIZATION. A health benefit plan may require prior authorization for a prosthetic device or an orthotic device in the same manner that the health benefit plan requires prior authorization for any other covered benefit. Added by Acts 2009, 81st Leg., R.S., Ch…