§ 27-1-48.5-8 — Procedure and documentation for claiming a credit

Indiana § 27-1-48.5-8

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 1: DEPARTMENT OF INSURANCE
• Ch. 48.5: Out-of-Pocket Expense Credit

Text

(a) A health plan shall:
(1) establish a procedure by which a covered individual may
claim a credit under section 7 of this chapter; and
(2) identify documentation necessary to support a claim for a
credit under section 7 of this chapter.
(b) A health plan may either:
(1) publish average discounted rates that the health plan has
negotiated to pay health care providers for health care services; or
(2) refer to average or typical rates on the all payer claims data
base established under IC 27-1-44.5;
for purposes of a covered individual claiming a credit under section 7
of this chapter.
(c) A covered individual may use the data on average or typical
rates reported on the all payer claims data base established under IC 27-1-44.5 to determine the average discounted rate for a health care
service under section 7 of this chapter.

Legislative History

As added by P.L.237-2025, SEC.9.