Texas HB1687 allows governmental employee health benefit plans to credit enrollees' deductibles and out-of-pocket expenses for direct payments to.

Texas HB1687 amends the Insurance Code to allow certain governmental employee health benefit plans to credit enrollees' deductibles and out-of-pocket expenses for direct payments to physicians or providers. This applies if the claim for the service or supply is not submitted to the issuer or administrator and the amount paid is less than the average discounted rate for the service or supply. The health benefit plan issuer or administrator must establish a procedure for claiming the credit and identify necessary documentation.

Texas HB1687 allows governmental employee health benefit plans to credit enrollees' deductibles and out-of-pocket expenses for direct payments to.

Texas HB1687 amends the Insurance Code to allow certain governmental employee health benefit plans to credit enrollees' deductibles and out-of-pocket expenses for direct payments to physicians or providers. This applies if the claim for the service or supply is not submitted to the issuer or administrator and the amount paid is less than the average discounted rate for the service or supply. The health benefit plan issuer or administrator must establish a procedure for claiming the credit and identify necessary documentation.