Indiana § 27-8-35-5 - Coverage for anatomical gifts, transplantation, or related health care services

§ 27-8-35-5. Coverage for anatomical gifts, transplantation, or related health care services

Sec. 5. An insurer shall not deny coverage for anatomical gifts, transplantation, or related health care services under a policy of accident and sickness insurance based solely on the disability of the covered individual.

As added by P.L.2-2019, SEC.9.

IC 27-8-35.5Chapter 35.5. Coverage for Chronic Pain Management

27-8-35.5-1"Chronic pain" 27-8-35.5-2"Chronic pain management" 27-8-35.5-3"Insured" 27-8-35.5-4"Policy of accident and sickness insurance" 27-8-35.5-5Coverage for chronic pain management 27-8-35.5-6Coverage not more restrictive than other coverage

IC 27-8-35.5-1"Chronic pain" Sec. 1. As used in this chapter, "chronic pain" means pain that:

(1) persists beyond the usual course of an acute disease or healing of an injury; or

(2) may be associated with an acute or chronic pathologic process that causes continuous or intermittent pain for a period of months or years.

As added by P.L.149-2019, SEC.5.

IC 27-8-35.5-2"Chronic pain management" Sec. 2. As used in this chapter, "chronic pain management" means evidence based health care products and services intended to relieve chronic pain that has lasted for at least three (3) months. The term includes:

(1) prescription drugs;

(2) physical therapy;

(3) occupational therapy;

(4) chiropractic care;

(5) osteopathic manipulative treatment; and

(6) athletic trainer services.

As added by P.L.149-2019, SEC.5.

IC 27-8-35.5-3"Insured" Sec. 3. As used in this chapter, "insured" means an individual entitled to coverage under a policy of accident and sickness insurance.

As added by P.L.149-2019, SEC.5.

IC 27-8-35.5-4"Policy of accident and sickness insurance" Sec. 4. As used in this chapter, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1. The term does not include the following:

(1) Dental insurance.

(2) A supplemental plan that always pays in addition to other coverage.

As added by P.L.149-2019, SEC.5.

IC 27-8-35.5-5Coverage for chronic pain management Sec. 5. A policy of accident and sickness insurance must provide coverage for medically necessary chronic pain management prescribed by an insured's treating practitioner.

As added by P.L.149-2019, SEC.5.

IC 27-8-35.5-6Coverage not more restrictive than other coverage Sec. 6. The coverage required by this chapter may not be subject to annual or lifetime limitation, deductible, copayment, or coinsurance provisions that are more restrictive than the annual or lifetime limitation, deductible, copayment, or coinsurance provisions that apply generally under the policy of accident and sickness insurance.

As added by P.L.149-2019, SEC.5. Amended by P.L.156-2020, SEC.111.

IC 27-8-37Chapter 37. Coverage for Pediatric Neuropsychiatric Disorders

27-8-37-1"Policy of accident and sickness insurance" 27-8-37-2Coverage for PANS and PANDAS 27-8-37-3Restrictions