Tex. Ins. Code § 843.3115

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.

Section 843.3115 - Contracts With Dentists

(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.

Tex. Ins. Code § 843.3115

Added by Acts 2011, 82nd Leg., R.S., Ch. 1061, Sec. 1, eff. 9/1/2011.