Sec. 3. As used in this chapter, “good faith estimate” means a health carrier‘s reasonable estimate of:

(1) the amount of the cost of a nonemergency health care service that the health carrier will:

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Terms Used In Indiana Code 27-2-25-3

  • covered individual: means an individual who is entitled to coverage from a health carrier. See Indiana Code 27-2-25-2
  • health carrier: means an entity:

    Indiana Code 27-2-25-4

  • nonemergency health care service: means a discrete service or series of services ordered by a practitioner for an episode of care for the:

    Indiana Code 27-2-25-8

(A) pay for; or

(B) reimburse to;

a covered individual; or

(2) the applicable benefit limitations of the nonemergency health care service a covered individual is entitled to receive;

that a health carrier provides upon request to a covered individual for whom a nonemergency health care service has been ordered.

As added by P.L.93-2020, SEC.13.