Sec. 3. (a) If a health maintenance organization denies coverage for a treatment, procedure, drug, or device on the grounds that the treatment, procedure, drug, or device is experimental, the health maintenance organization shall provide the enrollee with a written explanation that includes the following: (1) The basis for the denial. (2) The enrollee's right to appeal the health maintenance organization's decision as provided in IC 27-8-16-8 , IC 27-8-17-12 , and IC 27-13-10 . (3) The telephone number of: (A) an individual employed by the health maintenance organization whom; or (B) a department of the health maintenance organization that; the enrollee may contact for assistance in initiating an appeal of the health maintenance organization's decision. (b) An enrollee is entitled to a review that takes not more than seventy-two (72) hours if the enrollee's health situation is life threatening or is an emergency. IC 27-13-40 Chapter 40. Patient Protection; Health Maintenance Organization Comparison Sheets 27-13-40-1 Availability of comparison sheets 27-13-40-2 Requirements for comparison sheets 27-13-40-3 Persons to be provided comparison sheets
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