31 Pa. Code § 69.42
Current through Register Vol. 54, No. 50, December 14, 2024
An insurer shall make payments to providers in accordance with the Medicare Program as applied in this Commonwealth by the carrier and intermediaries. Care covered under the Medicare Program shall be reimbursed at 110% of the Medicare payment or a different allowance as may be determined under § 69.12(b) (relating to exemption from payment limitations). Medicare co-insurance and deductibles may not be excluded in payments made by the insurer.
31 Pa. Code § 69.42