September 10, 2020
Control Number: 81-51
Subject: Copayment for Flat Rate Obstetrical Delivery Services and NeoNatal Care
References: Amended 1950 & 1974 Benefit Plans & Trusts,
Article III, Sections A (3) (c) and (o) 1, A (8) (a)
Other: 1981 Contract Q&A #50
Question:
1. Is a physician’s flat rate charge for obstetrical delivery services (including pre- and post-natal care) subject to copayment?
2. Is a pediatrician’s flat rate charge for neonatal care received in the hospital subject to copayment?
Answer:
1. No.
2. Yes, each pediatrician’s visit is subject to copayment.