Sec. 8. (a) A
policy of accident and sickness insurance must provide coverage for routine care costs that are incurred in the course of a clinical
trial if the policy of accident and sickness insurance would provide coverage for the same routine care costs not incurred in a
clinical trial.
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Terms Used In Indiana Code 27-8-25-8
- clinical trial: means a Phase I, II, III, or IV research study:
Indiana Code 27-8-25-2
- contracted provider: means a health care provider that has entered into an agreement under IC 27-8-11-3 with an insurer that issues a policy of accident and sickness insurance. See Indiana Code 27-8-25-3
- noncontracted provider: means a health care provider that has not entered into an agreement to serve as a contracted provider. See Indiana Code 27-8-25-5
- policy of accident and sickness insurance: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-25-6
- Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
(c) This section does not do any of the following:
(1) Require an insurer that issues a policy of accident and sickness insurance to provide coverage for clinical trial services rendered by a contracted provider.
(2) Prohibit an insurer that issues a policy of accident and sickness insurance from providing coverage for clinical trial services rendered by a contracted provider.
(3) Require reimbursement under a policy of accident and sickness insurance for services that are rendered in a clinical trial by a noncontracted provider at the same rate of reimbursement that would apply to the same services rendered by a contracted provider.
As added by P.L.109-2009, SEC.3.
