§ 27-13-7-28.5 — Coverage for wearable cardioverter defibrillators

Indiana § 27-13-7-28.5

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

Text

5. (a) This section applies to an individual
contract or a group contract that is entered into, amended, or renewed
after June 30, 2023.
(b) As used in this section, "wearable cardioverter defibrillator"
means a device that:
(1) is worn externally on an individual's body;
(2) continually monitors and analyzes the individual's heart
rhythm; and
(3) delivers a shock to the heart when an abnormal heart rhythm
is detected.
(c) An individual contract or a group contract must provide
coverage for a wearable cardioverter defibrillator, including the cost of
the wearable cardioverter defibrillator, any necessary accessory, and
ongoing monitoring services.
(d) The coverage required under subsection (c) must be in
accordance with a:
(1) local coverage determination; or
(2) national coverage determination;
as defined in 42 U.S.C. 1395ff(f) for Medicare purposes.
(e) The coverage required by this section may not be subject to an
annual or lifetime limitation.

Legislative History

As added by P.L.190-2023, SEC.32.