N.J. Admin. Code § 10:78-9.14 - Payment of cost sharing expenditures

Current through Register Vol. 54, No. 7, April 4, 2022

(a) The Premium Support Program (PSP) will reimburse the beneficiary for the difference between the NJFC/PSP co-payment amount and that of the employer-sponsored plan co-payment amount. For example, if the NJFC/PSP co-payment amount for a physician's office visit is $ 5.00 and the employer-sponsored plan co-pay charge is $ 15.00 for the same service, the PSP will reimburse the beneficiary the difference in excess of the NJFC/PSP co-payment amount ($ 10.00).
(b) Copayment amounts for services available through the HMO shall be consistent with those of the NJ FamilyCare program (see N.J.A.C. 10:78).


N.J. Admin. Code § 10:78-9.14

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