(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 applicantâs 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.
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