Sec. 1355.105. DETERMINATIONS FOR TREATMENT IN PSYCHIATRIC DAY TREATMENT FACILITY. (a) Benefits provided under this subchapter shall be determined as if necessary care and treatment in a psychiatric day treatment facility were inpatient care and treatment in a hospital.
(b) For the purpose of determining policy benefits and benefit maximums, each full day of treatment in a psychiatric day treatment facility is the equivalent of one-half of one day of treatment of mental or emotional illness or disorder in a hospital or inpatient program.
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
Subtitle E - Benefits Payable Under Health Coverages
Chapter 1355 - Benefits for Certain Mental Disorders
Subchapter C. Psychiatric Day Treatment Facilities
Section 1355.102. Applicability of Subchapter
Section 1355.103. Applicability of General Provisions of Other Law
Section 1355.104. Required Coverage for Treatment in Psychiatric Day Treatment Facility
Section 1355.105. Determinations for Treatment in Psychiatric Day Treatment Facility
Section 1355.106. Offer of Coverage Required; Alternative Benefits