Section 80. Fee-for-service: Medicare coinsurance and deductibles

Latest version.

Payments for Medicare coinsurance and deductibles for noninstitutional services shall not exceed the allowed charges determined by Medicare in accordance with 42 CFR 447.304(b) less the portion paid by Medicare, other third party payors, and recipient copayment requirements of this Plan. See 12VAC30-80-170.

Historical Notes

Derived from VR460-02-4.1920 § 8, eff. July 1, 1993; amended, Volume 11, Issue 17, eff. July 1, 1995; Volume 11, Issue 18, eff. July 1, 1995; Volume 12, Issue 05, eff. December 27, 1995.

Statutory Authority

§ 32.1-325 of the Code of Virginia.

                    
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