{"data":{"id":"us-tx/tex.-insurance-code-1371.005","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1371.005","heading":"MANAGED CARE PLAN.","body":"A health benefit plan provider may require that, if coverage is provided through a managed care plan, the benefits mandated under this chapter are covered benefits only if the prosthetic devices or orthotic devices are provided by a vendor or a provider, and related services are rendered by a provider, that contracts with or is designated by the health benefit plan provider. If the health benefit plan provider provides in-network and out-of-network services, the coverage for prosthetic devices or orthotic devices provided through out-of-network services must be comparable to that provided through in-network services.\nAdded by Acts 2009, 81st Leg., R.S., Ch. 30 (H.B. 806), Sec. 1, eff. September 1, 2009.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1371. COVERAGE FOR CERTAIN PROSTHETIC DEVICES, ORTHOTIC DEVICES, AND RELATED SERVICES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1371.htm#1371.005","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"4e2439e26e991a0a7741373eb775b86971cd735d340cb2ae435592b977a11bd7","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1371.004","next":"us-tx/tex.-insurance-code-1372.001"},"notice":"GroundRules: Original legal text. Not legal advice."}