Indiana Code
Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage
27-13-7-22. Coverage of Telehealth Services; Prohibition on Requiring Use of Specific Information Technology Application

Sec. 22. (a) An individual contract or a group contract must provide coverage for telehealth services in accordance with the same clinical criteria as the individual contract or the group contract provides coverage for the same health care services delivered to an enrollee in person.
(b) Coverage for telehealth services required by subsection (a) may not be subject to a dollar limit, copayment, or coinsurance requirement that is less favorable to an enrollee than the dollar limit, copayment, or coinsurance requirement that applies to the same health care services delivered to an enrollee in person.
(c) Any annual or lifetime dollar limit that applies to telehealth services must be the same annual or lifetime dollar limit that applies in the aggregate to all items and services covered under the individual contract or the group contract.
(d) This section does not do any of the following:
(1) Require an individual contract or a group contract to provide coverage for a telehealth service that is not a covered health care service under the individual contract or group contract.
(2) Require the use of telehealth services when the treating provider has determined that telehealth services are inappropriate.
(3) Prevent the use of utilization review concerning coverage for telehealth services in the same manner as utilization review is used concerning coverage for the same health care services delivered to an enrollee in person.
(e) A separate consent for telehealth services may not be required.
(f) If a policy provides coverage for telehealth services via:
(1) secure videoconferencing;
(2) store and forward technology; or
(3) remote patient monitoring technology;
between a provider in one (1) location and a patient in another location, the policy may not require the use of a specific information technology application for those services.
As added by P.L.185-2015, SEC.27. Amended by P.L.85-2021, SEC.32.

Structure Indiana Code

Indiana Code

Title 27. Insurance

Article 13. Health Maintenance Organizations

Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage

27-13-7-0.1. Application of Certain Amendments to Chapter

27-13-7-1. Persons Entitled to Copies of Contracts

27-13-7-2. Deceptive Contract Provisions Prohibited

27-13-7-3. Contract Provisions

27-13-7-4. Compliance With Requirements; Ten Day Grace Period

27-13-7-5. Evidence of Coverage

27-13-7-6. Evidence of Coverage; Prohibited Provisions

27-13-7-7. Evidence of Coverage; Required Statement

27-13-7-7.5. Prohibition on Coverage of Abortion; Exceptions; Coverage Through Rider or Endorsement

27-13-7-7.5-b. Prohibition on Coverage of Abortion; Exceptions; Coverage Through Rider or Endorsement

27-13-7-8. Readability Standards

27-13-7-9. Approval of Forms by Commissioner

27-13-7-10. Coverage Outside Indiana; Commissioner's Approval Not Required

27-13-7-11. Filing of Form With Commissioner; Review Period; Approval; Withdrawal of Approval; Hearing

27-13-7-12. Additional Information Required by Commissioner

27-13-7-13. Continuation of Coverage Statement

27-13-7-14. Post-Mastectomy Coverage

27-13-7-14.2. "Treatment of a Mental Illness or Substance Abuse"; "Act"; "Nonqualitative Treatment Limitations"; Reporting and Analysis Requirements for Individual and Group Contracts

27-13-7-14.5. Coverage for Nonexperimental, Surgical Treatment of Morbid Obesity

27-13-7-14.7. Coverage for Autism Spectrum Disorders

27-13-7-14.8. Treatment Limitations or Financial Requirements on Coverage of Services for Mental Illness

27-13-7-15. Dental Care Provisions Required

27-13-7-15.3. Breast Cancer Screening Mammography

27-13-7-16. Prostate Specific Antigen Test

27-13-7-17. Coverage for Colorectal Cancer Screening; Exception for Grandfathered Health Plans

27-13-7-18. Inherited Metabolic Disease Coverage

27-13-7-19. Coverage for Orthotic Devices and Prosthetic Devices

27-13-7-20. Prohibition on Chemotherapy Coverage Limitations

27-13-7-20.1. Individual or Group Contract Providing Coverage for Prescription Eye Drops; Refill of Prescription Eye Drops; Requirements

27-13-7-20.2. Coverage for Care Related to Cancer Clinical Trials

27-13-7-20.4. Applicability; Coverage for Methadone for Treatment of Pain

27-13-7-21. High Breast Density

27-13-7-22. Coverage of Telehealth Services; Prohibition on Requiring Use of Specific Information Technology Application

27-13-7-23. Step Therapy Protocol

27-13-7-24. Coverage for Anatomical Gifts, Transplantation, or Related Health Care Services

27-13-7-24.5. Coverage for Chronic Pain Management

27-13-7-26. Coverage for Pediatric Neuropsychiatric Disorders

27-13-7-27. Reimbursement for Emergency Medical Services