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Public law · full textRegulation31 Pa. Code § 152.15
Emergency services.
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v1fetched Jul 21, 202691509c4998d3
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If an enrollee requires emergency health care services, and cannot reasonably be attended to by a preferred provider or physician, the preferred provider arrangement shall pay for the emergency health care services so that the enrollee is not liable for a greater out-of-pocket expense than if the enrollee were attended to by a preferred provider or physician.