This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:49 GMT
A limited service HMO may not:(1) exclude services required for preexisting conditions which would otherwise be covered under the plan;(2) establish waiting periods for coverage of preexisting conditions;(3) impose a lifetime coverage maximum for any covered service or benefit;(4) limit or otherwise interfere with an enrollee's right to terminate his or her membership in the plan before the end of the enrollment year;(5) limit coverage for emergency services under a limited health care service plan;(6) charge an emergency fee in addition to a copayment for emergency services; or(7) count medication-related services and services provided by telephone toward the annual outpatient visit total for either serious or nonserious mental illness.