Sec. 11. (a) This section does not apply to an individual who is a Medicaid recipient.
(b) An individual for whom a nonemergency health care service has been ordered, scheduled, or referred may request from the practitioner who may provide the nonemergency health care service a good faith estimate of the total price the practitioner will charge for providing the nonemergency health care service.
(c) A practitioner who receives a request from a patient under subsection (b) shall, not more than five (5) business days after receiving relevant information from the individual, provide to the individual a good faith estimate of the price that the practitioner will charge for providing the nonemergency health care service.
(d) A practitioner must ensure that a good faith estimate provided to an individual under this section is accompanied by a notice stating that:
(1) an estimate provided under this section is not binding on the practitioner;
(2) the price the practitioner charges the individual may vary from the estimate based on the individual's medical needs; and
(3) the estimate provided under this section is only valid for thirty (30) days.
(e) A practitioner may not charge an individual for information provided under this section.
As added by P.L.93-2020, SEC.7.
Structure Indiana Code
Title 25. Professions and Occupations
Chapter 9.8. Practitioner Good Faith Estimates
25-1-9.8-1. "Covered Individual"
25-1-9.8-1.5. "Episode of Care"
25-1-9.8-2. "Good Faith Estimate"
25-1-9.8-7. "Nonemergency Health Care Service"
25-1-9.8-10. "Provider Facility"
25-1-9.8-10-b. "Provider Facility"
25-1-9.8-11. Applicability; Request for Good Faith Estimate; Requirements
25-1-9.8-12. In Network Good Faith Estimates; Out of Network Good Faith Estimates
25-1-9.8-13. Provision of Good Faith Estimate
25-1-9.8-15. Provision of Information by Practitioner to Provider Facility
25-1-9.8-16. Practitioner Duty to Give Written Notice of Individual's Right to an Estimate; Rules