Indiana § 27-8-14.8-3 Coverage for colorectal cancer screening; exception for grandfathered
health plans

Indiana Statutes

§ 27-8-14.8-3 — Coverage for colorectal cancer screening; exception for grandfathered health plans

Indiana § 27-8-14.8-3

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 14.8Coverage for Services Related to Colorectal Cancer

This text of Indiana § 27-8-14.8-3 (Coverage for colorectal cancer screening; exception for grandfathered health plans) 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 § 27-8-14.8-3 (2026).

Text

(a)As used in this section, "follow-up colonoscopy" means a colonoscopy that is performed as a follow-up to a colorectal cancer screening test, other than a colonoscopy, that is assigned a grade of "A" or "B" by the United States Preventive Services Task Force and for which the result was positive.

(b)Except as provided in subsection (e), an insurer shall provide coverage for colorectal cancer examinations and laboratory tests for cancer for any nonsymptomatic insured in any accident and sickness insurance policy that the insurer issues in Indiana or issues for delivery in Indiana. Except as provided in subsection (f), covered services must include:

(1)a colorectal cancer screening test assigned either an "A" or "B" grade by the United States Preventive Services Task Force; and

(2)a fo

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(a) As used in this section, "follow-up
colonoscopy" means a colonoscopy that is performed as a follow-up to
a colorectal cancer screening test, other than a colonoscopy, that is
assigned a grade of "A" or "B" by the United States Preventive Services
Task Force and for which the result was positive.
(b) Except as provided in subsection (e), an insurer shall provide
coverage for colorectal cancer examinations and laboratory tests for
cancer for any nonsymptomatic insured in any accident and sickness
insurance policy that the insurer issues in Indiana or issues for delivery
in Indiana. Except as provided in subsection (f), covered services must
include:
(1) a colorectal cancer screening test assigned either an "A" or
"B" grade by the United States Preventive Services Task Force;
and
(2) a follow-up colonoscopy.
(c) For an insured who is:
(1) at least forty-five (45) years of age; or
(2) less than forty-five (45) years of age and at high risk for
colorectal cancer;
the coverage required under this section must meet the requirements set
forth in subsection (d), except as provided in subsection (f).
(d) An insured may not be required to pay an additional annual
deductible or coinsurance for the colorectal cancer examination and
laboratory testing benefit required by this section that is greater than an
annual deductible or coinsurance established for similar benefits under
the accident and sickness insurance policy under which the insured is
covered. If the accident and sickness insurance policy does not cover
a similar benefit, a deductible or coinsurance for the colorectal cancer
examination and laboratory testing benefit may not be set at a level that
materially diminishes the value of the colorectal cancer examination
and laboratory testing benefit.
(e) In the case of an accident and sickness insurance policy that is
not employer based, the insurer shall offer to provide the coverage
described in this section.
(f) The requirements imposed under subsection (b)(2) do not apply
to grandfathered health plans as defined in 45 CFR 147.140.