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Indiana · Snapshot 2026

IC 25-1-9.1-5: "Health plan"

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Where this section sits in the code
  1. TITLE 25. PROFESSIONS AND OCCUPATIONS
  2. ARTICLE 1. GENERAL PROVISIONS
  3. Chapter 9.1. Out of Network Provider Referrals

Sec. 5. (a) As used in this chapter, "health plan" means:

(1) a policy of accident and sickness insurance (as defined in IC 27-8-5-1);

(2) an individual contract or a group contract with a health maintenance organization under IC 27-13; or

(3) another plan or program that provides payment, reimbursement, or indemnification for the costs of health care items or services;

that conditions the payment of benefits, in whole or in part, on a covered individual's use of providers that have agreed to be part of a network.

(b) The term does not include the following:

(1) Worker's compensation or similar insurance.

(2) Benefits provided under a certificate of exemption issued by the worker's compensation board under IC 22-3-2-5.

(3) Medicaid (IC 12-15).

Collected 2026-10-06T20:43:28Z. Source file · JSON

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