Sec. 1358.054. COVERAGE REQUIRED. (a) A health benefit plan that provides coverage for the treatment of diabetes and conditions associated with diabetes must provide to each qualified enrollee coverage for:
(1) diabetes equipment;
(2) diabetes supplies; and
(3) diabetes self-management training in accordance with the requirements of Section 1358.055.
(b) A health benefit plan may require a deductible, copayment, or coinsurance for coverage provided under this section. The amount of the deductible, copayment, or coinsurance may not exceed the amount of the deductible, copayment, or coinsurance required for treatment of other analogous chronic medical conditions.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Section: Previous 1358.001 1358.002 1358.003 1358.004 1358.005 1358.051 1358.052 1358.053 1358.054 1358.055 1358.056 NextLast modified: September 28, 2016