Indiana § 27-13-7-22 Coverage of telehealth services; prohibition on requiring use of specific
information technology application

Indiana Statutes

§ 27-13-7-22 — Coverage of telehealth services; prohibition on requiring use of specific information technology application

Indiana·Title 27 INSURANCE·Art. 13 HEALTH MAINTENANCE ORGANIZATIONS·Ch. 7 Requirements for Group Contracts, Individual Contracts,

(a)An individual contract or a group contract must provide coverage for telehealth services in accordance with the same clinical criteria as the individual contract or the group contract provides coverage for the same health care services delivered to an enrollee in person.

(b)Coverage for telehealth services required by subsection (a) may not be subject to a dollar limit, copayment, or coinsurance requirement that is less favorable to an enrollee than the dollar limit, copayment, or coinsurance requirement that applies to the same health care services delivered to an enrollee in person.

(c)Any annual or lifetime dollar limit that applies to telehealth services must be the same annual or lifetime dollar limit that applies in the aggregate to all items and services covered under the indi

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(a) An individual contract or a group
contract must provide coverage for telehealth services in accordance
with the same clinical criteria as the individual contract or the group
contract provides coverage for the same health care services delivered
to an enrollee in person.
(b) Coverage for telehealth services required by subsection (a) may
not be subject to a dollar limit, copayment, or coinsurance requirement
that is less favorable to an enrollee than the dollar limit, copayment, or
coinsurance requirement that applies to the same health care services
delivered to an enrollee in person.
(c) Any annual or lifetime dollar limit that applies to telehealth
services must be the same annual or lifetime dollar limit that applies in
the aggregate to all items and services covered under the individual
contract or the group contract.
(d) This section does not do any of the following:
(1) Require an individual contract or a group contract to provide
coverage for a telehealth service that is not a covered health care
service under the individual contract or group contract.
(2) Require the use of telehealth services when the treating
provider has determined that telehealth services are inappropriate.
(3) Prevent the use of utilization review concerning coverage for
telehealth services in the same manner as utilization review is
used concerning coverage for the same health care services
delivered to an enrollee in person.
(e) A separate consent for telehealth services may not be required.
(f) If a policy provides coverage for telehealth services via:
(1) secure videoconferencing;
(2) store and forward technology; or
(3) remote patient monitoring technology;
between a provider in one (1) location and a patient in another location,
the policy may not require the use of a specific information technology
application for those services.

Indiana § 27-13-7-22 (Coverage of telehealth services; prohibition on requiring use of specific information technology application) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.