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Texas Insurance Code - INS § 1301.152. Continuing Care in General

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) An insurer shall establish reasonable procedures for ensuring a transition of insureds to physicians or health care providers and for continuity of treatment.

(b) An insurer shall:

(1) provide, subject to Section 1301.160, reasonable advance notice to an insured of the impending termination of the participation in the plan of a physician or health care provider who is currently treating the insured;  and

(2) in the event of termination of a preferred provider's participation in the plan, make available to the insured a current listing of preferred providers.

(c) A contract between an insurer and a physician or health care provider must include a procedure for resolving disputes regarding the necessity for continued treatment by the physician or provider.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1301.152. Continuing Care in General - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1301-152/

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