Indiana

Summary of Indiana Law

• Indiana law is set out in Indiana Code 27-8-14.2
  
  
• Covers any health or accident insurance policy that is issued on a group basis
  
  
• Excludes self-insured companies
  
  
• Provides coverage for threatment that is prescribed by the insured's treating physician in accordance with a treatment plan.  The insured must submit a treatment plan to his/her insurance provider
  
  
• The Indiana Department of Insurance has stated that Applied Behavior Analysis (ABA) is not subject to visit limitations
  
  
• The insurance provider has the right to review the plan as to medical necessity
  
  
• The insured has the right to challenge a medical necessity ruling
  
  
• Therapies provided in the public schools cannot be covered

Indiana News

Read More News