Sec. 6. The:
(1) coverage required under section 5 of this chapter must be equal to the coverage that is provided for the same device, repair, or replacement under the federal Medicare program (42 U.S.C. 1395 et seq.); and
(2) reimbursement under the coverage required under section 5 of this chapter must be equal to the reimbursement that is provided for the same device, repair, or replacement under the federal Medicare reimbursement schedule, unless a different reimbursement rate is negotiated.
This section does not require a deductible under a policy of accident and sickness insurance to be equal to a deductible under the federal Medicare program.
As added by P.L.109-2008, SEC.2.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 24.2. Coverage for Prosthetic Devices
27-8-24.2-0.1. Application of Chapter
27-8-24.2-2. "Orthotic Device"
27-8-24.2-3. "Policy of Accident and Sickness Insurance"
27-8-24.2-4. "Prosthetic Device"
27-8-24.2-5. Coverage Required
27-8-24.2-6. Coverage and Reimbursement
27-8-24.2-7. Comparison to Other Benefits
27-8-24.2-8. Continued Medical Necessity Review
27-8-24.2-9. Lifetime Maximum Coverage Limitation
27-8-24.2-10. Deductible, Copayment, or Coinsurance Requirements