§ 3088. Health insurance coverage
Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 62 P.S. Poor Persons and Public Welfare
62 P.S. § 3088
§ 3088. Health insurance coverage
(a) Establishment.--Pursuant to the requirements of section 6,1 the Commonwealth shall establish a plan to provide basic health care benefits insurance coverage, on a copayment basis, to successful participants of the program who lose their Medicaid coverage due to entering regular employment and who elect to obtain the insurance coverage.
(3) An individual who is covered under a group health plan of the individual or the individual's spouse, a contribution toward the cost of which is being made by an employer, former employer, union or any entity other than the individual's spouse, or an individual who could have been so covered if, after the effective date of this section, an election had been made and partial premiums had been paid on a timely basis.
(e) Election of coverage.--Participation in the health insurance coverage plan shall be optional for a person who would qualify under the provisions of subsection (b). Persons who elect health insurance coverage under the plan shall signify their election in writing with a statement consenting to the payment of premium copayments for benefits.
No deductible or copayment shall be imposed for prenatal, delivery or postpartum care.
(g) Use of Federal funds.--In the event that Federal funds are made available to the Commonwealth for the payment of premiums and expenses incurred through the provision of health care benefits for program participants who elect such coverage, the costs to the Commonwealth shall be reduced by the maximum amount provided for by the Federal Government.
(i) Selection of a private carrier.--Basic health care benefits insurance coverage available through this section may be provided by a company, association, nonprofit organization or exchange authorized to do business within this Commonwealth and selected by the department for the purpose of providing such coverage. Selection of any insurance carrier to provide this basic health care benefits insurance coverage shall be done pursuant to current bidding procedures applicable to administrative agencies.
Credits
1987, July 13, P.L. 332, No. 62, § 8, effective July 1, 1987.
Footnotes
62 P.S. § 3086.
62 P.S. § 3088, PA ST 62 P.S. § 3088
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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