Sec. 843.202. DISCLOSURE OF INFORMATION TO MEDICARE RECIPIENTS. (a) Before a prospective enrollee is enrolled in a health care plan offered to Medicare recipients by a Medicare-contracting health maintenance organization, the health maintenance organization must provide the prospective enrollee with a disclosure form adopted by the commissioner under Subsection (b).
(b) The commissioner shall adopt a disclosure form informing a prospective enrollee in a Medicare-contracting health maintenance organization of:
(1) the effect of enrollment in the health maintenance organization on the prospective enrollee's opportunity to purchase Medicare supplement insurance; and
(2) any differences in the benefits and costs between the health care plan offered to Medicare recipients and Medicare supplement insurance.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Structure Texas Statutes
Title 6 - Organization of Insurers and Related Entities
Subtitle C - Life, Health, and Accident Insurers and Related Entities
Chapter 843 - Health Maintenance Organizations
Subchapter F. Relations With Enrollees and Group Contract Holders
Section 843.201. Disclosure of Information About Health Care Plan Terms
Section 843.2015. Information Available Through Internet Site
Section 843.202. Disclosure of Information to Medicare Recipients
Section 843.203. Selection of Primary Care Physician or Provider
Section 843.204. Untrue or Misleading Information
Section 843.205. Member's Handbook; Information About Complaints and Appeals
Section 843.206. Notice of Change in Payment Arrangements
Section 843.207. Notice of Change in Operations
Section 843.2071. Notice of Increase in Charge for Coverage
Section 843.208. Cancellation or Nonrenewal of Coverage
Section 843.209. Identification Card