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(a)?An insurer may not in any manner prohibit, attempt to prohibit, penalize, terminate, or otherwise restrict a preferred provider from communicating with an insured about the availability of out-of-network providers for the provision of the insured's medical or health care services.
(b)?An insurer may not terminate the contract of or otherwise penalize a preferred provider solely because the provider's patients use out-of-network providers for medical or health care services.
(c)?An insurer's contract with a preferred provider may require that, except in a case of a medical emergency as determined by the preferred provider, before the provider may make an out-of-network referral for an insured, the preferred provider inform the insured:
(A)?the insured may choose a preferred provider or an out-of-network provider; ?and
(B)?if the insured chooses the out-of-network provider the insured may incur higher out-of-pocket expenses; ?and
(2)?whether the preferred provider has a financial interest in the out-of-network provider.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 1301.0058. Protected Communications by Preferred Providers - last updated April 14, 2021 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1301-0058.html
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