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DIVISION 9. PUBLIC SOCIAL SERVICES 10000-18999.81›PART 3.3. Health Care Coverage Assistance 15800-15895›CHAPTER 4. California Major Risk Medical Insurance Program 15870-15895›ARTICLE 3. Policies Issued by the Department 15878-15880

§ 15880

California Welfare and Institutions Code · 2020-11 edition · updated 2026-10-04 · California

Benefits under this article or Article 4 (commencing with Section 15881) shall be subject to required subscriber copayments and deductibles as the department may authorize. Any authorized copayments shall not exceed 25 percent and any authorized deductible shall not exceed an annual household deductible amount of five hundred dollars ($500). However, health plans not utilizing a deductible may be authorized to charge an office visit copayment of up to twenty-five dollars ($25). If the department contracts with participating health plans pursuant to Article 4 (commencing with Section 15881), copayments or deductibles shall be authorized in a manner consistent with the basic method of operation of the participating health plans. The aggregate amount of deductible and copayments payable annually under this section shall not exceed two thousand five hundred dollars ($2,500) for an individual and four thousand dollars ($4,000) for a family.

(Added by Stats. 2014, Ch. 31, Sec. 90. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, pursuant to Section 15872.5.)

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