Indiana § 25-1-9.8-12 In network good faith estimates; out of network good faith estimates

Indiana Statutes

§ 25-1-9.8-12 — In network good faith estimates; out of network good faith estimates

Indiana § 25-1-9.8-12

Title 25PROFESSIONS AND OCCUPATIONS

Art. 1GENERAL PROVISIONS

Ch. 9.8Practitioner Good Faith Estimates

This text of Indiana § 25-1-9.8-12 (In network good faith estimates; out of network good faith estimates) 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 § 25-1-9.8-12 (2026).

Text

(a)If:

(1)the individual who requests a good faith estimate from a practitioner under this chapter is a covered individual with respect to a network plan; and

(2)the practitioner from which the individual requests the good faith estimate is in network with respect to the same network plan; the good faith estimate that the practitioner provides to the individual under this chapter must be based on the negotiated price to which the practitioner has agreed as an in network provider.

(b)If the individual who requests a good faith estimate from a practitioner under this chapter:

(1)is not a covered individual with respect to any network plan; or

(2)is not a covered individual with respect to a network plan with respect to which the practitioner is in network; the good faith estimate that

Free access — add to your briefcase to read the full text and ask questions with AI

(a) If:
(1) the individual who requests a good faith estimate from a
practitioner under this chapter is a covered individual with respect
to a network plan; and
(2) the practitioner from which the individual requests the good
faith estimate is in network with respect to the same network plan;
the good faith estimate that the practitioner provides to the individual
under this chapter must be based on the negotiated price to which the
practitioner has agreed as an in network provider.
(b) If the individual who requests a good faith estimate from a
practitioner under this chapter:
(1) is not a covered individual with respect to any network plan;
or
(2) is not a covered individual with respect to a network plan with
respect to which the practitioner is in network;
the good faith estimate that the practitioner provides to the individual
under this chapter must be based on the price that the practitioner
charges for the nonemergency health care service in the absence of any
network plan.