31 Pa. Code § 152.15 - Emergency services

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.

Notes

31 Pa. Code § 152.15

This section cited in 31 Pa. Code § 152.11 (relating to review of application by the Commissioner).