Tex. Ins. Code Section 1379.054
Limitations on Coverage

(a)

Notwithstanding Section 1379.053 (Research Institution), this chapter does not require a health benefit plan issuer to provide benefits for routine patient care services provided outside of the plan’s health care provider network unless out-of-network benefits are otherwise provided under the plan.

(b)

This chapter does not require a health benefit plan issuer to provide benefits for health care services provided outside this state unless the health benefit plan otherwise provides benefits for health care services provided outside this state.
Added by Acts 2009, 81st Leg., R.S., Ch. 719 (S.B. 39), Sec. 1, eff. September 1, 2009.

Source: Section 1379.054 — Limitations on Coverage, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1379.­htm#1379.­054 (accessed May 4, 2024).

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Accessed:
May 4, 2024

§ 1379.054’s source at texas​.gov