IC 27-8-14.7
    Chapter 14.7. Coverage for Services Related to Prostate CancerScreening

IC 27-8-14.7-1
"Accident and sickness insurance policy" defined
    Sec. 1. (a) As used in this chapter, "accident and sicknessinsurance policy" means an insurance policy that:
        (1) provides at least one (1) of the types of insurance describedin IC 27-1-5-1, Classes 1(b) and 2(a); and
        (2) is issued on a group basis.
    (b) "Accident and sickness insurance policy" does not include thefollowing:
        (1) Accident only, credit, dental, vision, Medicare supplement,long term care, or disability income insurance.
        (2) Coverage issued as a supplement to liability insurance.
        (3) Worker's compensation or similar insurance.
        (4) Automobile medical payment insurance.
        (5) A specified disease policy.
        (6) A short term insurance plan that:
            (A) may not be renewed; and
            (B) has a duration of not more than six (6) months.
        (7) A policy that provides indemnity benefits not based on anyexpense incurred requirement, including a plan that providescoverage for:
            (A) hospital confinement, critical illness, or intensive care;or
            (B) gaps for deductibles or copayments.
        (8) A supplemental plan that always pays in addition to othercoverage.
        (9) A student health plan.
        (10) An employer sponsored health benefit plan that is:
            (A) provided to individuals who are eligible for Medicare;and
            (B) not marketed as, or held out to be, a Medicaresupplement policy.
As added by P.L.170-1999, SEC.4. Amended by P.L.173-2007,SEC.34.

IC 27-8-14.7-2
"Insured" defined
    Sec. 2. As used in this chapter, "insured" means a male individualwho is entitled to coverage under a policy of accident and sicknessinsurance.
As added by P.L.170-1999, SEC.4.

IC 27-8-14.7-3
"Prostate specific antigen test" defined
    Sec. 3. As used in this chapter, "prostate specific antigen test"means a standard blood test performed to determine the level of

prostate specific antigen in the blood.
As added by P.L.170-1999, SEC.4.

IC 27-8-14.7-4
Coverage required
    Sec. 4. (a) Except as provided in subsection (f), an insurer shallprovide coverage for prostate specific antigen testing in any accidentand sickness insurance policy that the insurer issues in Indiana.
    (b) Except as provided in subsection (f), the coverage requiredunder subsection (a) must include the following:
        (1) At least one (1) prostate specific antigen test annually for aninsured who is at least fifty (50) years of age.
        (2) At least one (1) prostate specific antigen test annually for aninsured who is less than fifty (50) years of age and who is athigh risk for prostate cancer according to the most recentpublished guidelines of the American Cancer Society.
    (c) An insured may not be required to pay an annual deductible orcoinsurance that is greater than an annual deductible or coinsuranceestablished for similar benefits under the accident and sicknessinsurance policy. If the policy does not cover a similar benefit, thedeductible or coinsurance may not be set at a level that materiallydiminishes the value of the prostate specific antigen testing benefitrequired by this chapter.
    (d) Except as provided in subsection (f), the coverage that aninsurer must provide under this chapter may not be subject to dollarlimits, deductibles, or coinsurance provisions that are less favorableto the insured than the dollar limits, deductibles, or coinsuranceprovisions applying to physical illness generally under the accidentand sickness insurance policy.
    (e) Except as provided in subsection (f), the coverage that aninsurer must provide is in addition to any benefits specificallyprovided for x-rays, laboratory testing, or wellness examinations.
    (f) In the case of insurance policies that are not employer based,the insurer must offer to provide the coverage described insubsections (a) through (e).
As added by P.L.170-1999, SEC.4.