IC 5-10-8-26: Coverage for wearable cardioverter defibrillators

Sec. 26. (a) As used in this section, "state employee health plan" means a:

(1) self-insurance program established under section 7(b) of this chapter; or

(2) contract with a prepaid health care delivery plan entered into under section 7(c) of this chapter;

to provide group health coverage for state employees.

(b) As used in this section, "wearable cardioverter defibrillator" means a device that:

(1) is worn externally on an individual's body;

(2) continually monitors and analyzes the individual's heart rhythm; and

(3) delivers a shock to the heart when an abnormal heart rhythm is detected.

(c) A state employee health plan must provide coverage for wearable cardioverter defibrillators, including the cost of the wearable cardioverter defibrillator, any necessary accessory, and ongoing monitoring services.

(d) The coverage required under subsection (c) must be in accordance with a:

(1) local coverage determination; or

(2) national coverage determination;

as defined in 42 U.S.C. 1395ff(f) for Medicare purposes.

(e) The coverage required under this section may not be subject to an annual or lifetime limitation.