2005 Texas Insurance Code CHAPTER 1354. ELIGIBILITY FOR BENEFITS FOR ALZHEIMER\'S DISEASE

INSURANCE CODE

CHAPTER 1354. ELIGIBILITY FOR BENEFITS FOR ALZHEIMER'S DISEASE


	§ 1354.001. APPLICABILITY OF CHAPTER.  This chapter 
applies only to a health benefit plan that:
		(1)  provides coverage for Alzheimer's disease;  and                          
		(2)  is an individual or group policy, contract, 
certificate, or evidence of coverage that is delivered or issued 
for delivery in this state by an insurer or a group hospital service 
corporation operating under Chapter 842.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.          


	§ 1354.002. PROOF OF ORGANIC DISEASE.  If a health 
benefit plan requires demonstrable proof of organic disease or 
other proof before the health benefit plan issuer will authorize 
payment of benefits for Alzheimer's disease, that proof requirement 
is satisfied by a clinical diagnosis of Alzheimer's disease made by 
a physician licensed in this state, including a history and 
physical, neurological, and psychological or psychiatric 
evaluations, and laboratory studies.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.