Sec. 1456.007. HEALTH BENEFIT PLAN ESTIMATE OF CHARGES. A health benefit plan that must comply with this chapter under Section 1456.002 shall, on the request of an enrollee, provide an estimate of payments that will be made for any health care service or supply and shall also specify any deductibles, copayments, coinsurance, or other amounts for which the enrollee is responsible. The estimate must be provided not later than the 10th business day after the date on which the estimate was requested. A health benefit plan must advise the enrollee that:
(1) the actual payment and charges for the services or supplies will vary based upon the enrollee's actual medical condition and other factors associated with performance of medical services; and
(2) the enrollee may be personally liable for the payment of services or supplies based upon the enrollee's health benefit plan coverage.
Added by Acts 2007, 80th Leg., R.S., Ch. 997 (S.B. 1731), Sec. 11, eff. September 1, 2007.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle F - Physicians and Health Care Providers
Chapter 1456 - Disclosure of Provider Status
Section 1456.002. Applicability of Chapter
Section 1456.003. Required Disclosure: Health Benefit Plan
Section 1456.004. Required Disclosure: Facility-Based Physicians
Section 1456.005. Disciplinary Action and Administrative Penalty