Indiana Code
Chapter 8. Group Insurance for Public Employees
5-10-8-22.5. Amount Paid for Prescription Drug to Be Counted Against Deductible

Sec. 22.5. (a) As used in this section, "covered individual" means an individual who is entitled to coverage under a state employee health plan.
(b) As used in this section, "state employee health plan" means the following:
(1) A self-insurance program established under section 7(b) of this chapter.
(2) A contract for prepaid health services under section 7(c) of this chapter.
(c) A state employee health plan shall implement a procedure to allow a covered individual to submit a claim to offset the covered individual's deductible for the cost of a purchase by the covered individual of a prescription drug that:
(1) is covered under the state employee health plan; and
(2) was purchased by the covered individual without submitting at the point of purchase the claim through the state employee health plan.
(d) If a covered individual submits a claim to the state employee health plan in accordance with the procedure established under subsection (c), the state employee health plan shall verify the purchase described under subsection (c) and count the amount paid by the covered individual for the purchased covered prescription drug against the covered individual's deductible.
As added by P.L.114-2020, SEC.2.

Structure Indiana Code

Indiana Code

Title 5. State and Local Administration

Article 10. Public Employee Benefits

Chapter 8. Group Insurance for Public Employees

5-10-8-0.1. Application of Certain Amendments to Chapter

5-10-8-0.3. Use of Certain Accrued Benefits by State Employees

5-10-8-0.4. Legalization of Certain Payments of Deductible Portion of Group Health Insurance

5-10-8-0.5. Repealed

5-10-8-1. Definitions

5-10-8-2. Repealed

5-10-8-2.1. Repealed

5-10-8-2.2. Public Safety Employees; Surviving Spouses; Dependents

5-10-8-2.5. Repealed

5-10-8-2.6. Local Unit Public Employers and Employees; Programs; Self-Insurance; Payment of Part of Cost; Noncancelability; Retired Employees

5-10-8-2.7. Insurance of Rostered Volunteers

5-10-8-3. Repealed

5-10-8-3.1. Employees Withholding From Salaries or Wages; Retired Employees; Assignment of Part of Retirement Benefit

5-10-8-4. Discrimination as to Form of Insurance Between Certain Employees; Exception

5-10-8-5. Establishment of Common and Unified Plan of Group Insurance

5-10-8-6. Establishment of Common and Unified Plans by State Law Enforcement Agencies; Trust Fund for Prefunding State Contributions and Opeb Liability; Submission of Plan Documents to Budget Agency and Inprs

5-10-8-6.5. General Assembly Members and Former Members

5-10-8-6.6. Repealed

5-10-8-6.7. Election of State Employee Health Care Program by School Corporation

5-10-8-7. Group Insurance; Self-Insurance; Health Services; Disability Plans; Trust Fund for Prefunding State Contributions and Opeb Liability; Investments

5-10-8-7.1. Coverage for Autism Spectrum Disorder

5-10-8-7.2. Breast Cancer; Definitions; Self-Insurance Programs; Health Maintenance Organizations; Diagnostic Services

5-10-8-7.3. Early Intervention Services for First Steps Children

5-10-8-7.5. Prostate Specific Antigen Test

5-10-8-7.7. Surgical Treatment for Morbid Obesity

5-10-8-7.8. Colorectal Cancer Testing Coverage; Exception for High Deductible Health Plans

5-10-8-8. Retired Employees; Ability of Employer to Pay Premiums; Eligibility

5-10-8-8.1. Retired Legislators

5-10-8-8.2. Former Legislators

5-10-8-8.3. Former State and Legislative Employees; Health Benefit Plans

5-10-8-8.4. Revocation or Alteration by Employer

5-10-8-8.5. Establishment of Retiree Health Benefit Trust Fund

5-10-8-9. Coverage of Services for Mental Illness

5-10-8-10. Examining Infants for Hiv; Payment

5-10-8-10.5. Dental Care Provisions Required

5-10-8-11. Use of Diagnostic or Procedure Codes

5-10-8-12. Department Report of the Number of Stimulant Medication Prescriptions for Covered Children Diagnosed With Certain Disorders

5-10-8-13. Mail Order or Internet Based Pharmacy

5-10-8-14. Coverage for Prosthetic Devices

5-10-8-14.8. Employee Health Plan Providing Coverage for Prescription Eye Drops

5-10-8-14.9. Coverage of Methadone

5-10-8-15. Coverage for Care Related to Cancer Clinical Trials

5-10-8-16. High Breast Density

5-10-8-16.5. Post-Mastectomy Coverage

5-10-8-17. Step Therapy Protocol

5-10-8-18. Prescription Drug Coverage

5-10-8-19. Prior Authorization

5-10-8-20. Right to Provide Prescription Cost Information; Point of Sale Cost Limit; Pharmacist May Not Be Required to Collect Higher Copayment

5-10-8-21. Coverage for Anatomical Gifts, Transplantation, or Related Health Care Services

5-10-8-22. Coverage for Chronic Pain Management

5-10-8-22.5. Amount Paid for Prescription Drug to Be Counted Against Deductible

5-10-8-23. Reimbursement for Emergency Medical Services

5-10-8-24. Coverage for Pediatric Neuropsychiatric Disorders

5-10-8-25. Disability Plans; Correctional Officer