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PA Bulletin, Doc. No. 96-1653


Revisions to Individual Personal Choice Programs; Filing No. 12-P-96

[26 Pa.B. 4699]

   Independence Blue Cross and Pennsylvania Blue Shield submitted filing no. 12-P-96, that requests approval of certain revisions to Personal Choice Contract Forms 4037 and 5077 for experience-rated and community-rated groups. Modifications include enhancements to both adult and pediatric preventive care schedules; the addition of a definition and exclusion of ''maintenance-type'' services; modification of the defined terms which indicate the method by which subscribers' coinsurance is calculated; the inclusion of routine circumcision services for community-rated programs; clarification of exclusions for foot care, personal hygiene and convenience items; and the deletion of the exclusion of family counseling facility charges; and the addition of several prescription drug copayment options. Rating for community-rated Personal Choice programs was submitted August 30, 1996, under Independence Blue Cross/Pennsylvania Blue Shield Filing No. 10-P-96.

   Copies of the filing are available for public inspection, by appointment, during normal working hours at the Insurance Department's Office in Harrisburg. This filing consists of 144 pages.

   Interested parties are invited to submit written comments, suggestions or objections to Richard W. Stoner, Insurance Department, Office of Rate and Policy Regulation, Bureau of Accident and Health Insurance, 1311 Strawberry Square, Harrisburg, PA 17120, within 30 days after publication of this notice in the Pennsylvania Bulletin.

Insurance Commissioner

[Pa.B. Doc. No. 96-1653. Filed for public inspection September 27, 1996, 9:00 a.m.]

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