Sec. 1652.055. ADDITIONAL BENEFITS. (a) In addition to the basic Medicare supplement benefit plan described by Section 1652.054, an entity may offer additional Medicare supplement benefit plans for sale in this state.
(b) The combination of benefits provided by an additional plan must conform to one of the benefit packages adopted by the commissioner and authorized by Section 1882, Social Security Act (42 U.S.C. Section 1395ss).
(c) The commissioner by rule shall provide for the approval of new or innovative benefits that may be provided in a plan other than the basic plan and that otherwise comply with this subchapter. The benefits must:
(1) be offered in a manner consistent with the goal of Medicare supplement benefit plan simplification; and
(2) meet the requirements prescribed by Section 1882, Social Security Act (42 U.S.C. Section 1395ss).
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 4, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle I - Specialized Coverages
Chapter 1652 - Medicare Supplement Benefit Plans
Section 1652.051. Minimum Standards
Section 1652.052. Minimum Standards for Benefits and Claim Payments
Section 1652.053. Duplicate Benefits Prohibited
Section 1652.055. Additional Benefits
Section 1652.056. Coverage for Mammography