CHAPTER 1354. ELIGIBILITY FOR BENEFITS FOR ALZHEIMER'S DISEASE
INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
CHAPTER 1354. ELIGIBILITY FOR BENEFITS FOR ALZHEIMER'S DISEASE
Sec. 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, Sec. 3, eff. April 1,
2005.
Sec. 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, Sec. 3, eff. April 1,
2005.