You are here: California / Insurance Code - INS / CHAPTER 7. Vision Benefits and Copayments [12693.65. - 12693.66.] / Section 12693.65.


Section 12693.65. (Amended by Stats. 2008, Ch. 758, Sec. 19.)
Cite as: Cal. Ins. Code §12693.65.

(a)Vision benefits shall be provided to subscribers and shall meet the federal coverage requirements in Section 2103 of Title XXI of the Social Security Act.

(b)The covered benefits shall be equivalent to those provided to state employees through the Department of Personnel Administration on July 1, 1997, except for tinted lenses and also photochromatic lenses, unless otherwise deemed medically necessary.

(c)The board shall establish the required subscriber copayment levels for vision benefits consistent with the limitations of Section 2103 of Title XXI of the Social Security Act. The copayment levels established by the board shall, to the extent possible, reflect the copayment levels provided to state employees through the Department of Personnel Administration on July 1, 1997.

(d)The board may adopt, and may only one-time readopt, regulations to implement subdivision (b). The adoption and one-time readoption of a regulation authorized by this subdivision is deemed to address an emergency, for purposes of Sections 11346.1 and 11349.6 of the Government Code, and the board is hereby exempted for this purpose from the requirements of subdivision (b) of Section 11346.1 of the Government Code.



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