Texas Insurance Code - INS § 566.051. Limitations on Billing;  Notice

(1) before the enrollee is billed, the enrollee agrees in writing to pay the additional amount;  and

(2) before receiving the durable medical equipment, orthotic device or supply, or prosthetic device or supply, the enrollee:

(1) Medicare will reimburse 80 percent of the Medicare-approved amount for durable medical equipment, orthotic devices or supplies, or prosthetic devices or supplies covered under Medicare;  and

(2) a Medicare supplement benefit plan issuer is not required to reimburse the nonparticipating supplier or enrollee for the amount by which the charge exceeds 115 percent of the Medicare-approved amount.