Section 22859.  


Latest version.
  • (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.

(Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.)