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IC 27-13-7 – Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage | Midpage
Collections
Indiana Code
Title 27
13
Chapter 7
IC 27-13-7
Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage
0.1
Application of certain amendments to chapter
1
Persons entitled to copies of contracts
2
Deceptive contract provisions prohibited
3
Contract provisions
4
Compliance with requirements; ten day grace period
5
Evidence of coverage
6
Evidence of coverage; prohibited provisions
7
Evidence of coverage; required statement
7.5
Prohibition on coverage of abortion; exceptions; coverage through rider or endorsement
8
Readability standards
9
Approval of forms by commissioner
10
Coverage outside Indiana; commissioner's approval not required
11
Filing of form with commissioner; review period; approval; withdrawal of approval; hearing
12
Additional information required by commissioner
13
Continuation of coverage statement
14
Post-mastectomy coverage
14.2
"Treatment of a mental illness or substance abuse"; "act"; "nonquantitative treatment limitations"; reporting and analysis requirements for individual and group contracts
14.5
Coverage for nonexperimental, surgical treatment of morbid obesity
14.7
Coverage for autism spectrum disorders
14.8
Treatment limitations or financial requirements on coverage of services for mental illness
15
Dental care provisions required
15.3
Breast cancer screening mammography
16
Prostate specific antigen test
17
Coverage for colorectal cancer screening; exception for grandfathered health plans
18
Inherited metabolic disease coverage
19
Coverage for orthotic devices and prosthetic devices
20
Prohibition on chemotherapy coverage limitations
20.1
Individual or group contract providing coverage for prescription eye drops; refill of prescription eye drops; requirements
20.2
Coverage for care related to cancer clinical trials
20.4
Applicability; coverage for methadone for treatment of pain
21
High breast density
22
Coverage of telehealth services; prohibition on requiring use of specific information technology application
23
Step therapy protocol
24
Coverage for anatomical gifts, transplantation, or related health care services
24.5
Coverage for chronic pain management
26
Coverage for pediatric neuropsychiatric disorders
27
Reimbursement for emergency medical services
28
Mental health detention as medically necessary
28.5
Coverage for wearable cardioverter defibrillators
29.5
Coverage for prescription drugs for advanced, metastatic cancer and associated conditions