Texas SB527 mandates coverage for medically necessary general anesthesia in pediatric dental services for certain health benefit plans.

Texas SB527 amends the Insurance Code to ensure that certain health benefit plans cover medically necessary general anesthesia for pediatric dental services. This applies to specific types of health benefit plans, including those offered by nonprofit health corporations, multiple employer welfare arrangements, and others. The coverage is mandatory if the patient is under 13 years old and cannot undergo the dental service without general anesthesia due to a documented physical, mental, or medical reason. The anesthesia must be performed by a qualified provider of anesthesia services.

Texas SB527 mandates coverage for medically necessary general anesthesia in pediatric dental services for certain health benefit plans.

Texas SB527 amends the Insurance Code to ensure that certain health benefit plans cover medically necessary general anesthesia for pediatric dental services. This applies to specific types of health benefit plans, including those offered by nonprofit health corporations, multiple employer welfare arrangements, and others. The coverage is mandatory if the patient is under 13 years old and cannot undergo the dental service without general anesthesia due to a documented physical, mental, or medical reason. The anesthesia must be performed by a qualified provider of anesthesia services.