Sec. 1301.0053. EXCLUSIVE PROVIDER BENEFIT PLANS: EMERGENCY CARE. If a nonpreferred provider provides emergency care as defined by Section 1301.155 to an enrollee in an exclusive provider benefit plan, the issuer of the plan shall reimburse the nonpreferred provider at the usual and customary rate or at a rate agreed to by the issuer and the nonpreferred provider for the provision of the services.
Added by Acts 2011, 82nd Leg., R.S., Ch. 288 (H.B. 1772), Sec. 9, eff. September 1, 2011.
Section: Previous 1301.0041 1301.0042 1301.0045 1301.0046 1301.005 1301.0051 1301.0052 1301.0053 1301.0055 1301.0056 1301.0057 1301.0058 1301.006 1301.0061 1301.007 NextLast modified: September 28, 2016