Indiana § 27-8-24.2-5 Coverage required

Indiana Statutes

§ 27-8-24.2-5 — Coverage required

Indiana § 27-8-24.2-5

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 24.2Coverage for Prosthetic Devices

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Bluebook

Ind. Code § 27-8-24.2-5 (2026).

Text

A policy of accident and sickness insurance must provide coverage for orthotic devices and prosthetic devices, including repairs or replacements, that:

(1)are provided or performed by a person that is:

(A)accredited as required under 42 U.S.C. 1395m(a)(20); or

(B)a qualified practitioner (as defined in 42 U.S.C. 1395m(h)(1)(F)(iii));

(2)are determined by the insured's physician to be medically necessary to restore or maintain the insured's ability to perform activities of daily living or essential job related activities; and

(3)are not solely for comfort or convenience.

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A policy of accident and sickness insurance
must provide coverage for orthotic devices and prosthetic devices,
including repairs or replacements, that:
(1) are provided or performed by a person that is:
(A) accredited as required under 42 U.S.C. 1395m(a)(20); or
(B) a qualified practitioner (as defined in 42 U.S.C.
1395m(h)(1)(F)(iii));
(2) are determined by the insured's physician to be medically
necessary to restore or maintain the insured's ability to perform
activities of daily living or essential job related activities; and
(3) are not solely for comfort or convenience.