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Coverage

Insurers and self-insureds have the responsibility to make certain that the applicable Mcare assessment is timely collected, reported and remitted to Mcare on behalf of each participating health care provider and eligible entity it insures.  These reports and remittances must be received by Mcare within 60 calendar days of the issuance (inception) of a basic insurance coverage policy.

Mcare will not provide indemnity coverage or a defense for a claim that is made or occurs if a health care provider, eligible professional corporation, eligible professional association or eligible partnership fails to remit all monies due to Mcare prior to that claim being first reported to the health carerovider, the primary insurer or Mcare for the basic insurance coverage period that is applicable to the occurrence that is the basis for the claim (40 P.S. §§ 1303.701, et seq.). 

 Assessment Rating Manual Information

ASSESSMENT RATING UPDATED (November 15, 2016)

Mcare has published the Assessment Rating manual for 2017.  The assessment percentage is 19%. 

Please click on the applicable Assessment year below to access the most current Assessment Manual and e-216 reporting form as periodic edits are made to the documents and the site content.

2017 | 20162015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006 

Note:  Mcare has updated the assessment rates for 2014, 2012, 2011, 2010 and 2009 as part of the implementation of the lawsuit settlement.  When submitting coverage for those years, please use the new lower assessment rates available in the updated Form e-216's.

 PAYMENT OPTIONS

Mcare does not accept cash.  Mcare payment options include checks made out to "Mcare" or "Medical Care Availability and Reduction of Error Fund" and an electronic funds transfer (EFT) payment process.  The EFT may be an ACH or wire transfer.  Using the EFT process instead of mailing a check benefits the primary insurers by ensuring that the payment is not delayed in the mail.  It also allows Mcare to process the payment in a more efficient manner.  To learn more about how to take advantage of this payment option, please send an email to Mcare’s Fiscal Unit at ra-in-mcare-exec-web@pa.gov expressing your interest.  We will have an Mcare representative call you to explain the program. 

 Assigned Entity or Group Numbers

For those entities or groups that do not have a unique license number provided by another Commonwealth agency, Mcare has created a unique number to be used when reporting coverage for these entities for statistical purposes. Numbers are assigned by Mcare to identify specific hospitals ("HS"), corporations ("MC"), or groups ("GP").  If a number for an entity or group is not found on our website, please contact our Coverage Unit.  

Birth Centers Name Address Book 7-27-17.pdf

Corporation Name Address Book 7-27-17.pdf

Group Name and Address Book 7-27-17.pdf

Hospital Name Address Book 7-27-17.pdf

Nursing Home Name Address Book 7-27-17.pdf

Primary Health Center Name Address Book 7-27-17.pdf

REQUEST FOR COVERAGE HISTORY

Coverage_Verification_Form_2014.pdf  

 

HOSPITAL EXPERIENCE RATING PROGRAM

Hospital Experience Rating FAQs 6-13-17.pdf

For additional information on the Mcare Hospital Experience Rating program, please see the current Mcare Annual Report located under the "Reports and Studies" category found at www.insurance.pa.gov.


Coverage contact INFORMATION

Mcare Form e-216 Remittance Submission 
ra-in-remittance@pa.gov

Mcare Coverage Inquiries
ra-in-mcare-policy-web@pa.gov

Mcare EFT Payment (Electronic Funds Transfer) 
ra-in-mcare-exec-web@pa.gov

 
Telephone: (717) 783-3770
Fax:  (717) 705-7342
 
Street Address
1010 N. 7th Street Suite 201                                            
Harrisburg, PA  17102-1400 
 
Post Office Box
PO Box 12030
Harrisburg, PA 17108-2030