Limits on premium and cost sharing amounts

Ind. Code § 12-17.6-4-3, under Chapter 4. Benefits, Crowd Out, and Cost Sharing.

Ind. Code § 12-17.6-4-3

Sec. 3. Premium and cost sharing amounts established by the office are limited by the following: (1) Deductibles, coinsurance, or other cost sharing is not permitted with respect to benefits for: (A) well-baby and well-child care, including age appropriate immunizations; and (B) services provided for treatment of an emergency in an emergency department of a hospital licensed under IC 16-21. (2) Premiums and other cost sharing may be imposed based on family income. However, the total annual aggregate cost sharing with respect to all children in a family under this article may not exceed five percent (5%) of the family's income for the year. As added by P.L.273-1999, SEC.177. Amended by P.L.95-2000, SEC.3.