{"data":{"id":"us-tx/tex.-insurance-code-843.3115","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 843.3115","heading":"CONTRACTS WITH DENTISTS.","body":"(a) In this section, \"covered service\" means a dental care service for which reimbursement is available under an enrollee's health care plan contract, or for which reimbursement is available subject to a contractual limitation, including:\n(1) a deductible;\n(2) a copayment;\n(3) coinsurance;\n(4) a waiting period;\n(5) an annual or lifetime maximum limit;\n(6) a frequency limitation; or\n(7) an alternative benefit payment.\n(b) A contract between a health maintenance organization and a dentist may not limit the fee the dentist may charge for a service that is not a covered service.\nAdded by Acts 2011, 82nd Leg., R.S., Ch. 1061 (S.B. 554), Sec. 1, eff. September 1, 2011.","path":["INSURANCE CODE","TITLE 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES","SUBTITLE C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES","CHAPTER 843. HEALTH MAINTENANCE ORGANIZATIONS","SUBCHAPTER I. RELATIONS WITH PHYSICIANS AND PROVIDERS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm#843.3115","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"bd16ba265c9baa1d43a88ed0db88ab4b48315685b3af49695a38029ae400fc3c","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-843.311","next":"us-tx/tex.-insurance-code-843.312"},"notice":"GroundRules: Original legal text. Not legal advice."}