TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2210 STATE EMPLOYEES GROUP HEALTH INSURANCE PROGRAM
SECTION 2210.620 COVERED SERVICES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2210 STATE EMPLOYEES GROUP HEALTH INSURANCE PROGRAM
SECTION 2210.620 COVERED SERVICES
Section 2210.620 Covered Services
a) The TRAIL Program shall provide coverage for services covered by Medicare. Coverage will be provided only for services considered to be medically necessary.
b) The Director may establish reasonable controls, including but not limited to coinsurance, copayments, and deductibles for covered services to the extent permitted by the Centers for Medicare and Medicaid Services.
c) The TRAIL Program shall include coverage for prescription drugs. The Director shall design such coverage to comply with coverage requirements established by the Centers for Medicare and Medicaid Services for Medicare Part D plans (see 42 CFR 423.100).