Indiana Code § 27-8-6-8

Reimbursement for emergency medical services
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Sec. 8. (a) As used in this section, "emergency medical services" has the meaning set forth in IC 16-18-2-110 .       (b) As used in this section, "emergency medical services provider organization" means a provider of emergency medical services that is certified by the Indiana emergency medical services commission as an advanced life support provider organization under rules adopted under IC 16-31-3 .       (c) As used in this section, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1 . However, for purposes of this section, the term does not include the following: (1) Accident only, credit, dental, vision, Medicare supplement, long term care, or disability income insurance. (2) Coverage issued as a supplement to liability insurance. (3) Automobile medical payment insurance. (4) A specified disease policy. (5) A policy that provides a stipulated daily, weekly, or monthly payment to an insured without regard to the actual expense of the confinement. (6) A short term insurance plan (as defined in IC 27-8-5.9-3 ).       (d) A policy of accident and sickness insurance that provides coverage for emergency medical services must provide reimbursement for emergency medical services that are: (1) rendered by an emergency medical services provider organization; (2) within the emergency medical services provider organization's scope of practice; (3) performed or provided as advanced life support services; and (4) performed or provided: (A) during a response initiated through the 911 system; or (B) as part of a mobile integrated healthcare program described in IC 16-31-12 ; regardless of whether the patient is transported.       (e) Reimbursement for basic and advanced life support services through a policy to which this section applies must be provided on an equal basis regardless of whether the services involve transportation of the patient by ambulance.       (f) If multiple emergency medical services provider organizations qualify and submit a claim for reimbursement under this section for an encounter, the insurer: (1) may reimburse under this section only for one (1) claim per patient encounter; and (2) shall reimburse the claim submitted by the emergency medical services provider organization that performed or provided the majority of advanced life support services for the patient.       (g) The department may adopt rules under IC 4-22-2 to implement this section.       (h) This section does not require a policy of accident and sickness insurance to provide coverage for emergency medical services.   IC 27-8-7 Chapter 7. Repealed   IC 27-8-8 Chapter 8. Indiana Life and Health Insurance Guaranty Association Law               27-8-8-0.3 Coverage obligations affected by statutory amendments; governing law             27-8-8-1 Repealed             27-8-8-1.5 Repealed             27-8-8-2 Definitions             27-8-8-2.1 Policy, contract, rider descriptions; plan sponsor; residency             27-8-8-2.3 Coverage provided; exclusions; limitations             27-8-8-3 Creation of association; membership; accounts; supervision             27-8-8-4 Board of directors             27-8-8-5 Impaired insurers; insolvent insurers; liens; association powers and duties             27-8-8-5.2 Association election to succeed to rights and duties of impaired or insolvent insurer; reinsurance             27-8-8-5.4 Association obligations to person entitled to coverage             27-8-8-5.5 Venue; appeal bond             27-8-8-6 Assessments             27-8-8-6.2 Member protesting assessment             27-8-8-6.5 Association requests for information             27-8-8-7 Association plan of operation             27-8-8-8 Powers and duties of commissioner; appeals to commissioner; notice of effect of chapter             27-8-8-9 Detection and prevention of insurer insolvencies or impairments; actions of board of directors             27-8-8-10 Records of board meetings; disclosure of records; association status as creditor; application of impaired or insolvent insurer's assets             27-8-8-11 Distributions to affiliates; recovery             27-8-8-12 Examination and regulation of association; financial report             27-8-8-13 Association tax and fee exemption             27-8-8-14 Liability for performance under chapter             27-8-8-15 Insolvent insurer proceedings; stay; setting aside judgment             27-8-8-16 Recoupment of assessments             27-8-8-16.2 Premium surcharge or assignment in lieu of credit             27-8-8-17 Refunds from association             27-8-8-18 Advertising referring to association; association summary document

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