Too Much Discretion: TMA Supports Banning Insurance Discretionary Clause.
The Texas Office of Public Insurance Counsel, the Texas Medical Association, the American Heart Association, AARP, the National Multiple Sclerosis Society, and a Texas physician-lawmaker are upset about insurers' use of discretionary clauses. Such clauses give the companies free rein to interpret policy terms and evaluate a patient's claim for benefits however they choose.
Conde
Crystal
C
crystal.conde@texmed.org
D006801:Humans; D007343:Insurance Carriers; D007348:Insurance, Health; D009103:Multiple Sclerosis; D010820:Physicians; D013781:Texas; D014481:United States