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PDFWAC 388-832-0235

What are copays for medical and therapeutic services?

(1) Copays are fixed fees that subscribers to a medical plan must pay to use specific medical or therapeutic services covered by the plan. These services must have been deemed medically necessary by your health care professional.
(2) Medical and therapeutic copays may be a reimbursable expense through a developmental disabilities administration (DDA) services contract.
(3) The copays must be for your medical or therapeutic needs.
(4) DDA does not cover vitamins or supplements.
[Statutory Authority: RCW 71A.12.030 and 71A.12.161. WSR 18-14-002, § 388-832-0235, filed 6/20/18, effective 7/21/18. Statutory Authority: RCW 71A.12.30 [71A.12.030], 71A.12.040, and Title 71A RCW. WSR 09-11-054, § 388-832-0235, filed 5/13/09, effective 6/13/09. Statutory Authority: RCW 71A.12.030, 71A.12.040, and 2007 c 283. WSR 08-16-121, § 388-832-0235, filed 8/5/08, effective 9/5/08.]
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