Indiana Code 27-8-24.2-5. Coverage required
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Sec. 5. A policy of accident and sickness insurance must provide coverage for orthotic devices and prosthetic devices, including repairs or replacements, that:
(A) accredited as required under 42 U.S.C. § 1395m(a)(20); or
(1) are provided or performed by a person that is:
Terms Used In Indiana Code 27-8-24.2-5
- insured: means an individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-24.2-1
- policy of accident and sickness insurance: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-24.2-3
(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.
As added by P.L.109-2008, SEC.2.