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Section 22859 Of Article 6. Health Benefit Plans And Contracts From California Government Code >> Division 5. >> Title 2. >> Part 5. >> Chapter 1. >> Article 6.
22859
. (a) A health benefit plan or contract may not provide any of
the following:
(1) An exception for other coverage where the other coverage is entitlement to Medi-Cal or medicaid benefits.
(2) An exception for Medi-Cal or medicaid benefits.
(3) A benefits reduction if the person has entitlement to Medi-Cal or medicaid benefits.
(4) An exception for enrollment because of an applicant's entitlement to Medi-Cal or medicaid benefits.
(b) Each health benefit plan shall be considered in determining the third-party liability for medical expenses incurred by a Medi-Cal or a medicaid recipient.
(1) An exception for other coverage where the other coverage is entitlement to Medi-Cal or medicaid benefits.
(2) An exception for Medi-Cal or medicaid benefits.
(3) A benefits reduction if the person has entitlement to Medi-Cal or medicaid benefits.
(4) An exception for enrollment because of an applicant's entitlement to Medi-Cal or medicaid benefits.
(b) Each health benefit plan shall be considered in determining the third-party liability for medical expenses incurred by a Medi-Cal or a medicaid recipient.
