Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1032 (February 24, 2024).

31 Pa. Code § 89.805. Cost-sharing provisions in policy.

§ 89.805. Cost-sharing provisions in policy.

 (a)  Applicability. Child immunization coverage shall be subject to copayment and coinsurance provisions of a health insurance policy to the extent other medical services covered by the policy are subject to those provisions.

 (b)  Exemption. Child immunization coverage shall be exempt from deductible or dollar limit provisions in a health insurance policy. This exemption shall be explicitly provided for in the policy.

Cross References

   This section cited in 31 Pa. Code §  89.801 (relating to authority and purpose; implementation).



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