Tex. Insurance Code § 1652.059
COVERAGE FOR CERTAIN INDIVIDUALS YOUNGER THAN 65
Texas · Texas Insurance Code · Status: effective
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- Citation
- Tex. Insurance Code § 1652.059, COVERAGE FOR CERTAIN INDIVIDUALS YOUNGER THAN 65, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/683336
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Full text
(a) In this section, terms defined by Section 566.001 have the meanings assigned by that section.
(b) A Medicare supplement benefit plan issuer is not required to reimburse an enrollee or nonparticipating supplier for the amount by which a charge for durable medical equipment, orthotic devices or supplies, or prosthetic devices or supplies exceeds 115 percent of the Medicare-allowed amount for the equipment, device, or supply.
(c) This section does not prohibit a Medicare supplement benefit plan issuer and a nonparticipating supplier from negotiating a level and type of reimbursement for durable medical equipment or orthotic or prosthetic devices or supplies.