Sec. 3. Premium and cost sharing amounts established by the office are limited by the following:
(1) Deductibles, coinsurance, or other cost sharing is not permitted with respect to benefits for:
(A) well-baby and well-child care, including age appropriate immunizations; and
(B) services provided for treatment of an emergency in an emergency department of a hospital licensed under IC 16-21.
(2) Premiums and other cost sharing may be imposed based on family income. However, the total annual aggregate cost sharing with respect to all children in a family under this article may not exceed five percent (5%) of the family's income for the year.
As added by P.L.273-1999, SEC.177. Amended by P.L.95-2000, SEC.3.
Structure Indiana Code
Article 17.6. Children's Health Insurance Program
Chapter 4. Benefits, Crowd Out, and Cost Sharing
12-17.6-4-1. Applicability of Chapter
12-17.6-4-2.5. Prescription Drug Requirements
12-17.6-4-3. Limits on Premium and Cost Sharing Amounts
12-17.6-4-4. Powers of Office; Cost Sharing and Crowd Out
12-17.6-4-6. Community Health Centers
12-17.6-4-7. Selection of Primary Dental Provider Encouraged
12-17.6-4-8. Use of Generic Drugs and Preferred Drug List Required