Sec. 7. A dental plan may not directly or indirectly require a provider to provide a dental service to a covered individual at a fee amount that is:

(1) set by the dental plan; or

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Terms Used In Indiana Code 27-7-17.5-7

  • covered individual: means an individual who is entitled to:

    Indiana Code 27-7-17.5-1

  • covered service: means a dental service for which a reimbursement:

    Indiana Code 27-7-17.5-2

  • dental plan: means any of the following:

    Indiana Code 27-7-17.5-3

  • dental service: means any service provided by a dentist within the scope of the dentist's licensure under IC 25-14. See Indiana Code 27-7-17.5-4
  • provider: means :

    Indiana Code 27-7-17.5-6

(2) subject to the approval of the dental plan;

unless the dental service is a covered service.

As added by P.L.42-2022, SEC.1.