Texas Insurance Code - INS § 1652.059. Reimbursement for Certain Medical Equipment, Devices, and Supplies

(a) In this section, terms defined by Section 566.001 have the meanings assigned by that section.

(b) A Medicare supplement benefit plan issuer is not required to reimburse an enrollee or nonparticipating supplier for the amount by which a charge for durable medical equipment, orthotic devices or supplies, or prosthetic devices or supplies exceeds 115 percent of the Medicare-allowed amount for the equipment, device, or supply.

(c) This section does not prohibit a Medicare supplement benefit plan issuer and a nonparticipating supplier from negotiating a level and type of reimbursement for durable medical equipment or orthotic or prosthetic devices or supplies.