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PA Bulletin, Doc. No. 06-636


First Priority Health; Blue Care HMO; Rate Filing

[36 Pa.B. 1821]

   On April 5, 2006, the Insurance Department (Department) received from First Priority Health a filing requesting to extend the currently approved index factor (2.93%) through the 4th quarter of 2006 and to offer new copayment options for inpatient and outpatient mental health benefits for groups enrolled in the Blue Care HMO product. The new mental health copayment options are consistent with the medical copayment options currently approved for inpatient and outpatient services. With these new mental health copayment options, the group must adopt the same copay level for inpatient mental health and inpatient acute care ($0, $100, $240, $250, $300 or $500 per admission or $0, $100 or $250 per day) and the same copay level for outpatient mental health and outpatient specialist office visits ($0, $5, $10, $15, $20, $25, $30 or $40 per visit).

   The proposed effective date is July 1, 2006. These mental health copay changes will impact all subscribers who have mental health benefits.

   A copy of the filing is available on the Department's website at Under the Quick Links section, click on the link ''Rate Filings Published in the PA Bulletin.''

   Copies of the filing are also available for public inspection, by appointment, during normal working hours at the Department's regional office in Harrisburg.

Insurance Commissioner

[Pa.B. Doc. No. 06-636. Filed for public inspection April 14, 2006, 9:00 a.m.]

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