Indiana § 27-8-11-4.5 Permitted disclosures by providers; coverage of benefit or service;
payment of provider; application

Indiana Statutes

§ 27-8-11-4.5 — Permitted disclosures by providers; coverage of benefit or service; payment of provider; application

Indiana § 27-8-11-4.5

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 11Accident and Sickness Insurance─Reimbursement

This text of Indiana § 27-8-11-4.5 (Permitted disclosures by providers; coverage of benefit or service; payment of provider; application) 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 § 27-8-11-4.5 (2026).

Text

5.

(a)An agreement between an insurer and provider under section 3 of this chapter may not prohibit a provider from disclosing:

(1)financial incentives to the provider;

(2)all treatment options available to an insured, including those not covered by the insured's policy.

(b)An insurer may not penalize a provider financially or in any other manner for making a disclosure permitted under subsection (a).

(c)An insured is not entitled to coverage of a benefit or service under a health insurance policy unless that benefit or service is included in the insured's health insurance policy.

(d)A provider is not entitled to payment under a policy for benefits or services provided to an insured unless the provider has a contract or an agreement with the insurer.

(e)This section applies to a con

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5. (a) An agreement between an insurer and
provider under section 3 of this chapter may not prohibit a provider
from disclosing:
(1) financial incentives to the provider;
(2) all treatment options available to an insured, including those
not covered by the insured's policy.
(b) An insurer may not penalize a provider financially or in any
other manner for making a disclosure permitted under subsection (a).
(c) An insured is not entitled to coverage of a benefit or service
under a health insurance policy unless that benefit or service is
included in the insured's health insurance policy.
(d) A provider is not entitled to payment under a policy for benefits
or services provided to an insured unless the provider has a contract or
an agreement with the insurer.
(e) This section applies to a contract entered, renewed, or modified
after June 30, 1996.