Sec. 1368.006. LIMITATION ON COVERAGE. (a) In this section, "treatment series" means a planned, structured, and organized program to promote chemical-free status that:
(1) may include different facilities or modalities; and
(2) is completed when the covered individual:
(A) is, on medical advice, discharged from:
(i) inpatient detoxification;
(ii) inpatient rehabilitation or treatment;
(iii) partial hospitalization or intensive outpatient treatment; or
(iv) a series of those levels of treatments without a lapse in treatment; or
(B) fails to materially comply with the treatment program for a period of 30 days.
(b) Notwithstanding Section 1368.005, coverage required under this chapter is limited to a lifetime maximum of three separate treatment series for each covered individual.
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 1368 - Availability of Chemical Dependency Coverage
Section 1368.002. Applicability of Chapter
Section 1368.004. Coverage Required
Section 1368.005. Minimum Coverage Requirements
Section 1368.006. Limitation on Coverage
Section 1368.007. Treatment Standards
Section 1368.008. Use of Endorsement or Rider to Comply With Chapter