108 Mass. Reg. 10.14

Current through Register 1523, June 7, 2024
Section 10.14 - Supplemental Payment to Insurance Prohibited
(1)Applicants Not Covered by Medicare. DVS will not allow payment for services by a physician in cases where the applicant has medical insurance and that insurance has already made payment. Payment by the insurance company means the bill is paid in full.
(2)Applicants Covered by Medicare-Part B Supplemental Insurance. DVS will not authorize payment to any physician for services performed to an eligible applicant who is covered under Medicare B and also has supplemental insurance. This policy applies only to physicians and does not affect other providers of medical care under Part B of Medicare. DVS will continue to participate in the payment of premiums. For those applicants without supplemental insurance, the DVS will continue to pay the deductibles and the 20% balance of the allowable rate pursuant to M.G.L. c. 112 § 2.

108 CMR 10.14