Sec. 1652.058. COVERAGE FOR PREEXISTING CONDITION. (a) A Medicare supplement benefit plan may not contain a provision that excludes coverage for a claim for losses incurred more than six months after the effective date of coverage for a preexisting condition.
(b) A Medicare supplement benefit plan may not define a preexisting condition more restrictively than a condition for which medical advice was given or treatment was recommended by or received from a physician within six months before the effective date of coverage.
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