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Texas Insurance Code - INS § 843.3115. Contracts With Dentists

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

(a) In this section, “covered service” means a dental care service for which reimbursement is available under an enrollee's health care plan contract, or for which reimbursement is available subject to a contractual limitation, including:

(1) a deductible;

(2) a copayment;

(3) coinsurance;

(4) a waiting period;

(5) an annual or lifetime maximum limit;

(6) a frequency limitation; or

(7) an alternative benefit payment.

(b) A contract between a health maintenance organization and a dentist may not limit the fee the dentist may charge for a service that is not a covered service.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 843.3115. Contracts With Dentists - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-843-3115/

FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.

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