(a) The plan shall reimburse any air-ambulance provider that provides emergency air transportation or related emergency medical or treatment services to an employee or dependent of an employee covered by the plan the amount then in effect for the federal Medicare program, including any applicable Geographic Practice Cost Index.

Terms Used In West Virginia Code 5-16-8a

  • Director: means the Director of the Public Employees Insurance Agency created by this article. See West Virginia Code 5-16-2
  • Employee: means any person, including an elected officer, who works regularly full-time in the service of the State of West Virginia. See West Virginia Code 5-16-2
  • Plan: means a group hospital and surgical insurance plan or plans, a group prescription drug insurance plan or plans, a group major medical insurance plan or plans, and a group life and accidental death insurance plan or plans. See West Virginia Code 5-16-2

 (b) Nothing in this section limits the authority of the director under §5-16-3(c) and § 5-16-9 of this code, including, but not limited to, his or her authority to manage provider contracting and payments and to designate covered and noncovered services.

(c) This section does not limit the authority of the director, the plan, or the plans under § 5-16-11 of this code.

(d) Notwithstanding any provision of this code to the contrary, wherever 49 U.S.C. § 41713(b) applies to the reimbursement of air ambulance providers under § 5-16-8a of this code, the provisions of this code, including any administrative, civil, or criminal penalties, are inapplicable.