Texas Statutes (Last Updated: January 4, 2014) |
INSURANCE CODE |
Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
Subtitle E. BENEFITS PAYABLE UNDER HEALTH COVERAGES |
Chapter 1368. AVAILABILITY OF CHEMICAL DEPENDENCY COVERAGE |
Sec. 1368.006. LIMITATION ON COVERAGE
Latest version.
-
(a) In this section, "treatment series" means a planned, structured, and organized program to promote chemical-free status that:
(1) may include different facilities or modalities; and
(2) is completed when the covered individual:
(A) is, on medical advice, discharged from:
(i) inpatient detoxification;
(ii) inpatient rehabilitation or treatment;
(iii) partial hospitalization or intensive outpatient treatment; or
(iv) a series of those levels of treatments without a lapse in treatment; or
(B) fails to materially comply with the treatment program for a period of 30 days.
(b) Notwithstanding Section 1368.005, coverage required under this chapter is limited to a lifetime maximum of three separate treatment series for each covered individual.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.