Texas Insurance Code - INS § 1461.001. Definitions

(1) “Enrollee” means an individual who is eligible to receive health care services under a managed care plan.

(2) “Maintenance of certification” has the meaning assigned by Section 151.002, Occupations Code.

(3) “Managed care plan” means a health benefit plan under which health care services are provided to enrollees through contracts with physicians and that requires enrollees to use participating physicians or that provides a different level of coverage for enrollees who use participating physicians.  The term includes a health benefit plan issued by:

(4) “Participating physician” means a physician who has directly or indirectly contracted with a health benefit plan issuer to provide services to enrollees.

(5) “Physician” means an individual licensed to practice medicine in this state.