§ 5-10-8-22.5 — Amount paid for prescription drug to be counted against deductible

Indiana § 5-10-8-22.5

• Jurisdiction: Indiana
• Title 5: STATE AND LOCAL ADMINISTRATION
• Art. 10: PUBLIC EMPLOYEE BENEFITS
• Ch. 8: Group Insurance for Public Employees

Text

5. (a) As used in this section, "covered
individual" means an individual who is entitled to coverage under a
state employee health plan.
(b) As used in this section, "state employee health plan" means the
following:
(1) A self-insurance program established under section 7(b) of
this chapter.
(2) A contract for prepaid health services under section 7(c) of
this chapter.
(c) A state employee health plan shall implement a procedure to
allow a covered individual to submit a claim to offset the covered
individual's deductible for the cost of a purchase by the covered
individual of a prescription drug that:
(1) is covered under the state employee health plan; and
(2) was purchased by the covered individual without submitting
at the point of purchase the claim through the state employee
health plan.
(d) If a covered individual submits a claim to the state employee
health plan in accordance with the procedure established under
subsection (c), the state employee health plan shall verify the purchase
described under subsection (c) and count the amount paid by the
covered individual for the purchased covered prescription drug against
the covered individual's deductible.

Legislative History

As added by P.L.114-2020, SEC.2.