Islets of Hope state diabetes insurance coverage laws
Information for this article was compiled and edited by Lahle A. Wolfe, Islets of Hope.
This information for general information purposes only.
It is not intended to be used a recommendation or endorse- ment of any program or entity
This information is not intended to serve as any form of medical or legal advice.
Government Accountability Office (GAO) report number GAO-05-210 entitled "Managing Diabetes: Health Plan Coverage of Services and Supplies;" released on March 28, 2005.
Indiana - State Diabetes Insurance Coverage Laws
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Indiana has mandated coverage for diabetes care.
Summary of Provisions
IC 27-8-14.5-1 - "Health insurance plan" defined
Sec. 1. As used in this chapter, "health insurance plan"
IC 27-8-14.5-2 - "Insured" defined
Sec. 2. As used in this chapter, "insured" refers to an
IC 27-8-14.5-3 - "Insurer" defined
Sec. 3. As used in this chapter, "insurer" means any person
who provides health insurance and issues health insurance plans in Indiana. The
term includes the following:
IC 27-8-14.5-4 - Coverage for treatments, supplies, and equipment
Sec. 4. A health insurance plan issued by an insurer must provide coverage to the insured for the medically necessary treatment for diabetes, including medically necessary supplies and equipment as ordered in writing by a physician licensed under IC 25-22.5 or a podiatrist licensed under IC 25-29, subject to the general provisions of the health insurance plan.
IC 27-8-14.5-5 - Deductible, copayment, and coinsurance provisions
Sec. 5. (a) An insured may not be required to
pay an annual deductible or copayment that is greater than an annual deductible
or copayment established for similar benefits under the health insurance plan.
If the plan does not cover a similar benefit, the copayment or deductible may
not be set at a level that materially diminishes the value of the diabetes
benefit required by this chapter.
IC 27-8-14.5-6 - Coverage for diabetes self-management training
Sec. 6. (a) A health insurance plan issued
by an insurer must provide coverage for diabetes self-management training that
IC 27-8-14.5-7 - Adoption of
Page Updated 02/18/2007