§ 27-8-11-10 — Coverage for dialysis treatment

Indiana § 27-8-11-10

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 8: LIFE, ACCIDENT, AND HEALTH
• Ch. 11: Accident and Sickness Insurance─Reimbursement

Text

(a) As used in this section, "dialysis facility"
means an outpatient facility in Indiana at which a dialysis treatment
provider provides dialysis treatment.
(b) As used in this section, "contracted dialysis facility" means a
dialysis facility that has entered into an agreement with a particular
insurer under section 3 of this chapter.
(c) Notwithstanding section 1 of this chapter, as used in this section,
"insured" refers only to an insured who requires dialysis treatment.
(d) As used in this section, "insurer" includes the following:
(1) An administrator licensed under IC 27-1-25.
(2) An agent of an insurer.
(e) As used in this section, "non-contracted dialysis facility" means
a dialysis facility that has not entered into an agreement with a
particular insurer under section 3 of this chapter.
(f) An insurer shall not require an insured, as a condition of
coverage or reimbursement, to:
(1) if the nearest dialysis facility is located within thirty (30) miles
of the insured's home, travel more than thirty (30) miles from the
insured's home to obtain dialysis treatment; or
(2) if the nearest dialysis facility is located more than thirty (30)
miles from the insured's home, travel a greater distance than the
distance to the nearest dialysis facility to obtain dialysis
treatment;
regardless of whether the insured chooses to receive dialysis treatment
at a contracted dialysis facility or a non-contracted dialysis facility.

Legislative History

As added by P.L.111-2008, SEC.4.