Cigna Update PDF Print E-mail
Wednesday, 28 August 2013 16:16

Effective 7/1/2013

Cigna Healthcare of Texas, Inc. is updating its agreement with Methodist Physician Alliance to comply with these recently passed Texas’ legislation.

Per Texas law, the following are new provisions to the Texas Administrative Code [28 TAC 3.3703]:

 

  • The regulation requires insurers to obligate preferred providers by contract to notify an insured of the possibility that an out-of-network provider may render treatment when referring an insured to a facility for non-emergency care surgery, to notify the insurer that surgery has been recommended, and the facility that was recommended for the surgery. 28 TAC 3.3703 (a) (27)
  • The regulation requires insurers to obligate facilities by contract to notify an insured of the possibility that an out-of-network provider may render treatment when scheduling non-emergency care surgery and notify the insurer that surgery has been scheduled. 28 TAC 3.3703 (a) 28
 


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