Insights

On March 10, 2020, the Texas Commissioner of Insurance and Gov. Abbott asked health insurers that issue insurance plans regulated by Texas to waive costs associated with the testing and telemedicine visits for the diagnosis of COVID-19, as well as to cover necessary medical equipment, supplies and services. In addition, applicable insurers are asked to:

• Waive penalties, restrictions and claims denials for necessary out-of-network services
• Waive requirements for pre-authorization, referrals, notification of hospital admission or medical necessity reviews for care consistent with CDC guidance
• Allow extra time for health providers and facilities to file claims
• Authorize payment to pharmacies for up to a 90-day supply of any prescription medication for individuals, regardless of when the prescription was filled

TDI also asks applicable insurers to review claims handling and utilization review procedures, increase member communications, and review and update contingency plans.

Employers with policies regulated in Texas should be aware of these developments.

Governor and TDI Press Release »
TDI Press Release »