Indiana § 5-10-8-7.5 Prostate specific antigen test

Indiana Statutes

§ 5-10-8-7.5 — Prostate specific antigen test

Indiana § 5-10-8-7.5

Title 5STATE AND LOCAL ADMINISTRATION

Art. 10PUBLIC EMPLOYEE BENEFITS

Ch. 8Group Insurance for Public Employees

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Bluebook

Ind. Code § 5-10-8-7.5 (2026).

Text

5.

(a)As used in this section, "covered individual" means a male individual who is:

(1)covered under a self-insurance program established under section 7(b) of this chapter to provide group health coverage; or

(2)entitled to services under a contract with a health maintenance organization (as defined in IC 27-13-1-19) that is entered into or renewed under section 7(c) of this chapter.

(b)As used in this section, "prostate specific antigen test" means a standard blood test performed to determine the level of prostate specific antigen in the blood.

(c)A self-insurance program established under section 7(b) of this chapter to provide health care coverage must provide covered individuals with coverage for prostate specific antigen testing.

(d)A contract with a health maintenance organiza

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5. (a) As used in this section, "covered
individual" means a male individual who is:
(1) covered under a self-insurance program established under
section 7(b) of this chapter to provide group health coverage; or
(2) entitled to services under a contract with a health maintenance
organization (as defined in IC 27-13-1-19) that is entered into or
renewed under section 7(c) of this chapter.
(b) As used in this section, "prostate specific antigen test" means a
standard blood test performed to determine the level of prostate
specific antigen in the blood.
(c) A self-insurance program established under section 7(b) of this
chapter to provide health care coverage must provide covered
individuals with coverage for prostate specific antigen testing.
(d) A contract with a health maintenance organization that is entered
into or renewed under section 7(c) of this chapter must provide covered
individuals with prostate specific antigen screening.
(e) The coverage required under subsections (c) and (d) must
include the following:
(1) At least one (1) prostate specific antigen test annually for a
covered individual who is at least fifty (50) years of age.
(2) At least one (1) prostate specific antigen test annually for a
covered individual who is less than fifty (50) years of age and
who is at high risk for prostate cancer according to the most
recent published guidelines of the American Cancer Society.
(f) The coverage required under this section may not be subject to
dollar limits, deductibles, copayments, or coinsurance provisions that
are less favorable to covered individuals than the dollar limits,
deductibles, copayments, or coinsurance provisions applying to
physical illness generally under the self-insurance program or contract
with a health maintenance organization.
(g) The coverage for prostate specific antigen screening shall be
provided in addition to benefits specifically provided for x-rays,
laboratory testing, or wellness examinations.