Indiana Code 27-8-14.5-6. Coverage for diabetes self-management training
(1) medically necessary;
Terms Used In Indiana Code 27-8-14.5-6
- health insurance plan: means any:
Indiana Code 27-8-14.5-1
- in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
- insured: refers to an individual with:
Indiana Code 27-8-14.5-2
- insurer: means any person who provides health insurance and issues health insurance plans in Indiana. See Indiana Code 27-8-14.5-3
(3) provided by a health care professional who:
(A) is licensed, registered, or certified under IC 25; and
(B) has specialized training in the management of diabetes.
(b) Coverage for diabetes self-management training may be limited to the following:
(1) One (1) or more visits after receiving a diagnosis of diabetes.
(2) One (1) or more visits after receiving a diagnosis by a physician licensed under IC 25-22.5 or a podiatrist licensed under IC 25-29 that:
(A) represents a significant change in the insured‘s symptoms or condition; and
(B) makes changes in the insured’s self-management medically necessary.
(3) One (1) or more visits for reeducation or refresher training.
(c) Coverage for diabetes self-management training is subject to the requirements of the health insurance plan regarding the use of participating providers.
As added by P.L.190-1997, SEC.1. Amended by P.L.143-2022, SEC.74.