Texas SB1330 regulates billing and reimbursement for certain medical equipment, devices, and supplies provided to Medicare enrollees, creating a.

Texas SB1330 amends the Insurance Code to regulate billing and reimbursement for durable medical equipment, orthotic devices or supplies, and prosthetic devices or supplies provided to Medicare enrollees. A nonparticipating supplier may not charge an enrollee more than 115 percent of the Medicare-approved amount unless the enrollee agrees in writing to pay the additional amount. A Medicare supplement benefit plan issuer is not required to reimburse the nonparticipating supplier or enrollee for the amount by which the charge exceeds 115 percent of the Medicare-approved amount.

Texas SB1330 regulates billing and reimbursement for certain medical equipment, devices, and supplies provided to Medicare enrollees, creating a.

Texas SB1330 amends the Insurance Code to regulate billing and reimbursement for durable medical equipment, orthotic devices or supplies, and prosthetic devices or supplies provided to Medicare enrollees. A nonparticipating supplier may not charge an enrollee more than 115 percent of the Medicare-approved amount unless the enrollee agrees in writing to pay the additional amount. A Medicare supplement benefit plan issuer is not required to reimburse the nonparticipating supplier or enrollee for the amount by which the charge exceeds 115 percent of the Medicare-approved amount.