Illinois § 4-20
Full text of Illinois Illinois Compiled Statutes § 4-20, with citation guidance and answers to common questions.
§ 4-20.
Deductibles and copayments. (a) A Health Maintenance Organization may require deductibles and copayments of enrollees as a condition for the receipt of specific health care services, including basic health care services. Deductibles and copayments shall be the only allowable charges, other than premiums, assessed enrollees. Nothing within this subsection (a) shall preclude the provider from charging reasonable administrative fees, such as service fees for checks returned for non-sufficient funds and missed appointments. (b) Deductibles and copayments shall be for specific dollar amounts or for specific percentages of the cost of the health care services. (c) No combination of deductibles and copayments paid for the receipt of basic health care services may exceed the annual maximum out-of-pocket expenses of a high deductible health plan as defined in 26 U.S.C. 223. (d) Deductibles and copayments applicable to supplemental health care services, catastrophic-only plans as defined under the federal Affordable Care Act, or pre-existing conditions are not subject to the annual limitations described in this Section. (e) This Section applies to enrollees and does not limit the health care plan payment for services provided by non-participating providers. (f) This Section applies to enrollees and does not limit the health care plan payment for services provided by non-participating providers. (Source: P.A. 97-1148, eff. 1-24-13.)
Frequently Asked Questions About Illinois § 4-20
What does Illinois Compiled Statutes § 4-20 cover?
Section 4-20 is part of the Illinois Compiled Statutes, the codified statutory law of Illinois. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Illinois § 4-20?
A common citation format is "Illinois Compiled Statutes § 4-20" (Illinois). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Illinois law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Illinois official source linked on this page or consult a licensed Illinois attorney.
How does Illinois § 4-20 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Illinois can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Illinois.