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Texas Insurance Code - INS § 1368.006. Limitation on Coverage

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

(a) In this section, “treatment series” means a planned, structured, and organized program to promote chemical-free status that:

(1) may include different facilities or modalities;  and

(2) is completed when the covered individual:

(A) is, on medical advice, discharged from:

(i) inpatient detoxification;

(ii) inpatient rehabilitation or treatment;

(iii) partial hospitalization or intensive outpatient treatment;  or

(iv) a series of those levels of treatments without a lapse in treatment;  or

(B) fails to materially comply with the treatment program for a period of 30 days.

(b) Notwithstanding Section 1368.005, coverage required under this chapter is limited to a lifetime maximum of three separate treatment series for each covered individual.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1368.006. Limitation on Coverage - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1368-006/

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