Indiana § 25-1-9.1-5 "Health plan"

Indiana Statutes

§ 25-1-9.1-5 — "Health plan"

Indiana § 25-1-9.1-5

Title 25PROFESSIONS AND OCCUPATIONS

Art. 1GENERAL PROVISIONS

Ch. 9.1Out of Network Provider Referrals

This text of Indiana § 25-1-9.1-5 ("Health plan") is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 25-1-9.1-5 (2026).

Text

(a)As used in this chapter, "health plan" means:

(1)a policy of accident and sickness insurance (as defined in IC 27-8-5-1);

(2)an individual contract or a group contract with a health maintenance organization under IC 27-13; or

(3)another plan or program that provides payment, reimbursement, or indemnification for the costs of health care items or services; that conditions the payment of benefits, in whole or in part, on a covered individual's use of providers that have agreed to be part of a network.

(b)The term does not include the following:

(1)Worker's compensation or similar insurance.

(2)Benefits provided under a certificate of exemption issued by the worker's compensation board under IC 22-3-2-5.

(3)Medicaid (IC 12-15).

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(a) As used in this chapter, "health plan"
means:
(1) a policy of accident and sickness insurance (as defined in IC 27-8-5-1);
(2) an individual contract or a group contract with a health
maintenance organization under IC 27-13; or
(3) another plan or program that provides payment,
reimbursement, or indemnification for the costs of health care
items or services;
that conditions the payment of benefits, in whole or in part, on a
covered individual's use of providers that have agreed to be part of a
network.
(b) The term does not include the following:
(1) Worker's compensation or similar insurance.
(2) Benefits provided under a certificate of exemption issued by
the worker's compensation board under IC 22-3-2-5.
(3) Medicaid (IC 12-15).