Texas Insurance Code - INS § 1351.007. Limitations and Exclusions on Coverage Permitted

(1) a limitation on the number of visits for home health services for which benefits are payable, subject to Subsection (b);

(2) an exclusion for home health services coverage for:

(3) annual deductible and coinsurance provisions for home health services coverage that are not less favorable than the deductible or coinsurance provisions applicable to hospital services coverage under the plan;  and

(4) other coverage limitations or exclusions consistent with the remaining provisions of the plan.

(1) a visit by a representative of a home health agency;

(2) four hours of home health aide service;  and

(3) if home health aide service extends beyond four hours, each additional four hours or portion of that four-hour period.