Sec. 1271.153. PERIODIC HEALTH EVALUATIONS. (a) The basic health care services provided under an evidence of coverage must include periodic health evaluations for each adult enrollee.
(b) The services provided under this section must include a health risk assessment at least once every three years and, for a female enrollee, an annual well-woman examination provided in accordance with Subchapter F, Chapter 1451.
(c) This section does not apply to an evidence of coverage for a limited health care service plan or a single health care service plan.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Chapter 1271 - Benefits Provided by Health Maintenance Organizations; Evidence of Coverage; Charges
Subchapter D. Certain Benefits Required
Section 1271.151. Provision of Basic Health Care Services
Section 1271.152. Standards for Basic Health Care Services
Section 1271.153. Periodic Health Evaluations
Section 1271.154. Well-Child Care From Birth
Section 1271.155. Emergency Care
Section 1271.156. Benefits for Rehabilitation Services and Therapies
Section 1271.157. Non-Network Facility-Based Providers
Section 1271.158. Non-Network Diagnostic Imaging Provider or Laboratory Service Provider