Sec. 843.203. SELECTION OF PRIMARY CARE PHYSICIAN OR PROVIDER. (a) Each plan application form shall prominently include a space in which the enrollee at the time of application or enrollment shall select a primary care physician or primary care provider.
(b) An enrollee shall at all times have the right to select or change a primary care physician or primary care provider within the health maintenance organization network of available primary care physicians and primary care providers, except that a health maintenance organization may limit an enrollee's request to change physicians or providers to not more than four changes in a 12-month period.
(c) For purposes of this subchapter, an applicant physician, as defined by Chapter 1452, may not be considered to be an available primary care physician or primary care provider within the health maintenance organization delivery network for selection by an enrollee.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 1203 (H.B. 1594), Sec. 2, eff. September 1, 2007.
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