Texas § 1271.156 BENEFITS FOR REHABILITATION SERVICES AND THERAPIES.

Texas Statutes

§ 1271.156 — BENEFITS FOR REHABILITATION SERVICES AND THERAPIES.

Texas § 1271.156

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Bluebook

Tex. Insurance Code Code Ann. § 1271.156 (2026).

Text

Sec. 1271.156. BENEFITS FOR REHABILITATION SERVICES AND THERAPIES.

(a)If benefits are provided for rehabilitation services and therapies under an evidence of coverage, the provision of a rehabilitation service or therapy that, in the opinion of a physician, is medically necessary may not be denied, limited, or terminated if the service or therapy meets or exceeds treatment goals for the enrollee.

(b)For an enrollee with a physical disability, treatment goals may include maintenance of functioning or prevention of or slowing of further deterioration.

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Sec. 1271.156. BENEFITS FOR REHABILITATION SERVICES AND THERAPIES. (a) If benefits are provided for rehabilitation services and therapies under an evidence of coverage, the provision of a rehabilitation service or therapy that, in the opinion of a physician, is medically necessary may not be denied, limited, or terminated if the service or therapy meets or exceeds treatment goals for the enrollee.
(b) For an enrollee with a physical disability, treatment goals may include maintenance of functioning or prevention of or slowing of further deterioration.