The Birth of Texas Health Insurance
Texas has shaped and formed a new program called Texas Health Insurance that will help Texans get on the fast track when it comes to health insurance and human services. This was made possible through the merging and integration of 12 health agencies, transforming into four new departments under the supervision and management of Texas Health and Human Services Commission.
The aim and goal of Texas Health Insurance
Aside from providing a more attentive assistance to Texans’ health concerns, Texas Health Insurance aims to lend a hand and facilitate in the lowering of administrative costs and to come up with fund generating projects that will directly derive more health services for the people of Texas.
Texans who would like to browse and get more information about Texas Health Insurance may visit other related internet sites such as – Department of Aging and Disability Services, Texas Health and Human Services, Department of State Health Services, Department of Family and Protective Services, and the Department of Assistive and Rehabilitative Services.
Benefits from Texas Health Insurance
Each Texas Health Insurance holder is entitled to a Health Pool Benefit Plan. Texas Health Insurance features countless, great benefits like the calendar year deductible, the emergency care deductible, physician office visit co-payments and so on.
Another plus factor is that the Texas health insurance do not count the charges of prescription drugs for outpatients against their co-insurance maximums. And after the insured party pays the corresponding amount of the deductible from the policy, the policy will then pay the amount of the covered expenditures in excess of the co-insurance amount prior to policy limits. However, in Texas Health Insurance dealings with the covered expenses from a preferred provider, the instance you have settled the coinsurance maximum, the policy pays a total of 100% of covered expenses from preferred providers for the remaining days in the Calendar year. On the other hand, if you are an insured party with a non-preferred provider, there will be no coinsurance maximum for the covered expenses. Texas Health Insurance Policy will, in no event, pay more than the lifetime maximum for each insured party. The deductible amount chosen by the insured party may not be changed to a lesser amount after the policy is issued. One may request to upgrade and change to higher deductible if offered by the Texas Health Insurance but the insured party can only apply for that in a calendar year. The change made by the Texas Health Insurance will be effective on the first of the month following the date your written request is received or a later date upon request.
More, More, More!
Apart from this, enjoy the other great benefits from Texas Health Insurance such as: Intensive Care or Cardiac Care Unit with maximum of three times the average semi-private room rate, assistant surgeon or surgical first assistant with maximum of 25% of the surgeon’s professional fee, Skilled nursing facility of 45 days in a calendar year, transplants of kidney, liver, heart, pancreas, lung, bone marrow, subject to a lifetime combined maximum benefit, plus the retail pharmacy copayments for up to a maximum of 30-day supply on generic drugs, formulary drugs, and non-formulary brand name drugs. Other Texas Health Insurance’ health pool medical plan benefits are: ambulance use, anesthesia, blood, acquired brain injury, home infusion therapy, genetic testing and counseling, use of medical equipment, breast reconstruction in connection with mastectomy, and other miscellaneous hospital services and supplies.