Tex. Ins. Code § 1301.0053. Exclusive Provider Benefit Plans: Emergency Care: Preferred Provider Benefit Plans – Texas

Status: Enacted
Year Enacted: 2011
Year Amended: 2019
File: Download

If an out-of-network provider provides emergency care to an enrollee in an exclusive provider benefit plan, the issuer of the plan shall reimburse the out-of-network provider at the usual and customary rate or at a rate agreed to by the issuer and the out-of-network provider for the provision of the services and any supply related to those services.

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