88(R) SB 358 – Introduced Version – Bill Text
| Sec. 1276.054. SHARED SAVINGS PAYMENT. (a) Except as | |
| provided by Subsection (b), if an enrollee who requests a | |
| disclosure under Section 1276.052 elects and receives a health care | |
| service or supply the actual cost of which is less than the amount | |
| disclosed under Section 1276.052, the health benefit plan issuer or | |
| administrator shall pay to the enrollee 50 percent of the | |
| difference between the amount disclosed under Section 1276.052 and | |
| the actual cost, minus any applicable deductible, copayment, or | |
| coinsurance. |
