Sec. 3. (a) As used in this section, "follow-up colonoscopy" means a colonoscopy that is performed as a follow-up to a colorectal cancer screening test, other than a colonoscopy, that is assigned a grade of "A" or "B" by the United States Preventive Services Task Force and for which the result was positive. (b) Except as provided in subsection (e), an insurer shall provide coverage for colorectal cancer examinations and laboratory tests for cancer for any nonsymptomatic insured in any accident and sickness insurance policy that the insurer issues in Indiana or issues for delivery in Indiana. Except as provided in subsection (f), covered services must include: (1) a colorectal cancer screening test assigned either an "A" or "B" grade by the United States Preventive Services Task Force; and (2) a follow-up colonoscopy. (c) For an insured who is: (1) at least forty-five (45) years of age; or (2) less than forty-five (45) years of age and at high risk for colorectal cancer; the coverage required under this section must meet the requirements set forth in subsection (d), except as provided in subsection (f). (d) An insured may not be required to pay an additional annual deductible or coinsurance for the colorectal cancer examination and laboratory testing benefit required by this section that is greater than an annual deductible or coinsurance established for similar benefits under the accident and sickness insurance policy under which the insured is covered. If the accident and sickness insurance policy does not cover a similar benefit, a deductible or coinsurance for the colorectal cancer examination and laboratory testing benefit may not be set at a level that materially diminishes the value of the colorectal cancer examination and laboratory testing benefit. (e) In the case of an accident and sickness insurance policy that is not employer based, the insurer shall offer to provide the coverage described in this section. (f) The requirements imposed under subsection (b)(2) do not apply to grandfathered health plans as defined in 45 CFR 147.140. IC 27-8-15 Chapter 15. Small Employer Group Health Insurance 27-8-15-0.1 Application of certain amendments to chapter 27-8-15-1 Application of chapter 27-8-15-2 Repealed 27-8-15-3 "Actuarial certification" 27-8-15-4 "Base premium rate" 27-8-15-5 "Benefit design characteristics" 27-8-15-6 "Case characteristics" 27-8-15-7 "Commissioner" 27-8-15-8 "Department" 27-8-15-8.5 "Eligible employee" 27-8-15-9 "Health insurance plan" 27-8-15-10 "Insurer" 27-8-15-10.5 "Late enrollee" 27-8-15-11 "Midpoint rate" 27-8-15-12 "New business premium rate" 27-8-15-13 "Rating period" 27-8-15-14 "Small employer" 27-8-15-15 "Small employer insurer" 27-8-15-16 Premium rates 27-8-15-17 Rating factors 27-8-15-18 Offer to transfer 27-8-15-19 Cancellation or refusal of renewal of plans 27-8-15-20 Renewal cessation; notice 27-8-15-21 Renewal cessation; prohibitions 27-8-15-22 Disclosure of premium rate changes 27-8-15-23 Maintenance of rating and renewal practice information and documentation 27-8-15-24 Maintenance of actuarial certification; submission to department 27-8-15-25 Availability of information and documentation to commissioner; disclosure by commissioner 27-8-15-26 Suspension of premium rate provisions 27-8-15-27 Application in conformity with act; compliance 27-8-15-28 Waiver of exclusion and limitation period 27-8-15-29 Application in conformity with act; exclusion of coverage 27-8-15-30 Plan modifications prohibited 27-8-15-31 Conversion policy 27-8-15-31.1 Continuing coverage 27-8-15-32 Employees becoming eligible after employer's commencement of health insurance plan entitled to coverage 27-8-15-33 Mandatory coverage by employer insurer to all employer's eligible employees and employees' dependents; employees declining coverage; minimum participation and contribution requirements 27-8-15-34 Repealed 27-8-15-34.1 All products required to be offered; all employers required to be accepted
‹ Prev All Indiana sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.