[Code of Federal Regulations]
[Title 5, Volume 2, Parts 700 to 1199]
[Revised as of January 1, 2001]
From the U.S. Government Printing Office via GPO Access
[CITE: 5CFR890.905]

[Page 449-450]
 
                    TITLE 5--ADMINISTRATIVE PERSONNEL
 
          CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (Continued)
 
PART 890--FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents
 
 Subpart I--Limit on Inpatient Hospital Charges, Physician Charges, and 
                          FEHB Benefit Payments
 
Sec. 890.905  Limits on inpatient hospital and physician charges.

    (a) Hospitals may not collect from FEHB plans and retired enrolled 
individuals for inpatient hospital services more than the amount 
determined to be equivalent to the Medicare part A payment under the 
DRG-based PPS.
    (b) Medicare participating providers may not collect from FEHB plans 
and

[[Page 450]]

retired enrolled individuals for physician services more than the amount 
determined to be equivalent to the Medicare part B payment under the 
Medicare Participating Physician Fee Schedule.
    (c) Medicare nonparticipating providers may not collect from FEHB 
plans and retired enrolled individuals for physician services more than 
the amount determined to be equivalent to the Medicare limiting charge 
amount.

[60 FR 26668, May 18, 1995; 60 FR 28019, May 26, 1995]