Ind. Code § 25-1-9.1-5

Current through P.L. 171-2024
Section 25-1-9.1-5 - "Health plan"
(a) As used in this chapter, "health plan" means:
(1) a policy of accident and sickness insurance (as defined in IC 27-8-5-1);
(2) an individual contract or a group contract with a health maintenance organization under IC 27-13; or
(3) another plan or program that provides payment, reimbursement, or indemnification for the costs of health care items or services;

that conditions the payment of benefits, in whole or in part, on a covered individual's use of providers that have agreed to be part of a network.

(b) The term does not include the following:
(1) Worker's compensation or similar insurance.
(2) Benefits provided under a certificate of exemption issued by the worker's compensation board under IC 22-3-2-5.
(3) Medicaid (IC 12-15).

IC 25-1-9.1-5

Added by P.L. 147-2017,SEC. 1, eff. 7/1/2017.