{"data":{"id":"us-in/ic-27-13-15-5","jurisdiction":"us-in","citation":"IC 27-13-15-5","heading":"Coverage for dialysis treatment","body":"Sec. 5. (a) Notwithstanding IC 27-13-1-12, as used in this section, \"enrollee\" refers only to an enrollee who requires dialysis treatment.\n(b) As used in this section, \"health maintenance organization\" includes the following:\n(1) A limited service health maintenance organization.\n(2) An agent of a health maintenance organization or a limited service health maintenance organization.\n(c) A health maintenance organization shall not require an enrollee, as a condition of coverage or reimbursement, to:\n(1) if the nearest dialysis facility is located within thirty (30) miles of the enrollee's home, travel more than thirty (30) miles from the enrollee's home to obtain dialysis treatment; or\n(2) if the nearest dialysis facility is located more than thirty (30) miles from the enrollee's home, travel a greater distance than the distance to the nearest dialysis facility to obtain dialysis treatment;\nregardless of whether the enrollee chooses to receive dialysis treatment at a dialysis facility that is a participating provider or a dialysis facility that is not a participating provider.","path":["TITLE 27. INSURANCE","ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS","Chapter 15. Participating Providers; Contracts and Legal Actions"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-13-15-5","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"c3267f7caa17b3731bd863d8760bc3103b8cbf68a8c497e445e894bad56dac03","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-15-4","next":"us-in/ic-27-13-15-6"},"notice":"GroundRules: Original legal text. Not legal advice."}