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IN HB1142
Bill
Status
1/8/2018
Primary Sponsor
Donna Schaibley
Click for details
AI Summary
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Medical payment coverage is established as supplemental to health plans and public health coverage programs under new Indiana Code Chapter 27-7-17.
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Payment amounts under medical payment coverage cannot exceed the agreed-upon payment amount that the health care provider accepted as payment in full under the individual's primary health plan or public health coverage program.
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Covered individuals are not liable for any amounts exceeding the agreed-upon payment to the health care provider, whether billed individually or through medical payment coverage.
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Health plans and public health coverage programs cannot require individuals to use or exhaust medical payment coverage before receiving benefits for covered health care services.
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Medical payment coverage serves as primary coverage only when the health plan or public health coverage program provides no identical or similar benefits, and the bill voids any conflicting contractual provisions in contracts entered, amended, or renewed after June 30, 2018.
Legislative Description
Medical payment coverage. Specifies that medical payment coverage is supplemental to coverage under a health plan or public health coverage program. Specifies that: (1) the amount paid under medical payment coverage must not exceed the amount to which the health care provider agreed as payment in full for a health care service under the covered individual's health plan or public health coverage program; and (2) the covered individual is not liable for any amount that exceeds the amount to which the health care provider agreed as described in (1).
Last Action
Representative Young J added as coauthor
1/9/2018