{"data":{"id":"us-in/ic-25-1-9.1-5","jurisdiction":"us-in","citation":"IC 25-1-9.1-5","heading":"\"Health plan\"","body":"Sec. 5. (a) As used in this chapter, \"health plan\" means:\n(1) a policy of accident and sickness insurance (as defined in IC 27-8-5-1);\n(2) an individual contract or a group contract with a health maintenance organization under IC 27-13; or\n(3) another plan or program that provides payment, reimbursement, or indemnification for the costs of health care items or services;\nthat 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.\n(b) The term does not include the following:\n(1) Worker's compensation or similar insurance.\n(2) Benefits provided under a certificate of exemption issued by the worker's compensation board under IC 22-3-2-5.\n(3) Medicaid (IC 12-15).","path":["TITLE 25. PROFESSIONS AND OCCUPATIONS","ARTICLE 1. GENERAL PROVISIONS","Chapter 9.1. Out of Network Provider Referrals"],"source_url":"https://iga.in.gov/ic/2026/Title_25.html#25-1-9.1-5","current_through":"2026","vintage":"2026","retrieved_at":"2026-10-06T20:43:28Z","sha256":"f8867df62e02ce77134153c21b467c2b0080b50888842929ad27d6da1792a123","source_id":"us-in","stale":false,"prev":"us-in/ic-25-1-9.1-4","next":"us-in/ic-25-1-9.1-6"},"notice":"GroundRules: Original legal text. Not legal advice."}