California Health and Safety Code

§ 1374.66

HSC § 1374.66 Effective Jan 1, 2000Div. 2 · Ch. 2.2 · Art. 5.6

Statute text

Any health care service plan that offers a point-of-service plan contract may do all of the following:

(a)Limit or exclude coverage for specific types of services or conditions when obtained out-of-plan.

(b)Include annual out-of-pocket limits, copayments, and annual and lifetime maximum benefit limits for out-of-network coverage or services that are different or separate from any amounts or limits applied to in-network coverage or services, and may impose a deductible on coverage for out-of-network coverage or services.

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Legislative history

Amended by Stats. 1999, Ch. 525, Sec. 117. Effective January 1, 2000. Operative July 1, 2000, or sooner, by Sec. 214 of Ch. 525.