Indiana § 27-1-48.5-7 Credit; deductible and out-of-pocket expenses

Indiana Statutes

§ 27-1-48.5-7 — Credit; deductible and out-of-pocket expenses

Indiana § 27-1-48.5-7

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 48.5Out-of-Pocket Expense Credit

This text of Indiana § 27-1-48.5-7 (Credit; deductible and out-of-pocket expenses) 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 § 27-1-48.5-7 (2026).

Text

A health plan shall credit toward a covered
individual's deductible and annual maximum out-of-pocket expenses
any amount the covered individual pays directly to any health care
provider for a medically necessary covered health care service if a
claim for the health care service is not submitted to the health plan and
the amount paid by the covered individual to the health care provider
is less than the average discounted rate for the health care service paid
to a health care provider in the health plan's network.

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A health plan shall credit toward a covered
individual's deductible and annual maximum out-of-pocket expenses
any amount the covered individual pays directly to any health care
provider for a medically necessary covered health care service if a
claim for the health care service is not submitted to the health plan and
the amount paid by the covered individual to the health care provider
is less than the average discounted rate for the health care service paid
to a health care provider in the health plan's network.