Pennsylvania Code
Title 31 - INSURANCE
Part II - Automobile Insurance
Chapter 69 - MOTOR VEHICLE FINANCIAL RESPONSIBILITY LAW
Subchapter A - AUTOMOBILE INSURANCE MEDICAL COST CONTAINMENT
INSURER CLAIMS PROCESSING
Section 69.42 - Payments under the act
Universal Citation: 31 PA Code ยง 69.42
Current through Register Vol. 54, No. 44, November 2, 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.
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