IC 27-1-37.5-5 — "Health plan"
Chapter 37.5. Health Care Service Prior Authorization
Section text
Sec. 5. (a) As used in this chapter, "health plan" means any of the following that provides coverage for health care services: (1) A policy of accident and sickness insurance (as defined in IC 27-8-5-1). However, the term does not include the coverages described in IC 27-8-5-2.5(a). (2) A contract with a health maintenance organization (as defined in IC 27-13-1-19) that provides coverage for basic health care services (as defined in IC 27-13-1-4). (3) After December 31, 2020, the Medicaid risk based managed care program under IC 12-15. (b) The term includes a person that administers any of the following: (1) A policy described in subsection (a)(1). (2) A contract described in subsection (a)(2). (3) A self-insurance program established under IC 5-10-8-7(b) to provide health care coverage. (4) After December 31, 2020, Medicaid risk based managed care.
As added by P.L.77-2018, SEC.2. Amended by P.L.265-2019, SEC.3.
Source: official publisher (2026 edition)