Tex. Ins. Code § 1301.164. Out-of-Network Facility-Based Providers: Preferred Provider Benefit Plans – Texas

Status: Enacted
Year Enacted: 2019
File: Download

An insurer shall pay for a covered medical care or health care service performed for or a covered supply related to that service provided to an insured by an out-of-network provider who is a facility-based provider at the usual and customary rate or at an agreed rate if the provider performed the service at a health care facility that is a preferred provider.

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