Written by Paul Smith Paul Smith

Published: 03 July 2017 03 July 2017

Requires group and individual policies to provide coverage for the treatment of a pervasive developmental disorder of an insured. A pervasive developmental disorder is defined as a neurological condition, including Asperger's syndrome and autism, as defined in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association. The coverage required may not be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable to an insured than the dollar limits, deductibles, or coinsurance provisions that apply to physical illness generally under the accident and sickness insurance policy.

Note: Speech language services are not specifically defined in the statute. Coverage is "limited to treatment that is prescribed by the insured's treating physician in accordance with a treatment plan."

Source: Ind. Code Ann. §27-8-14.2; §27-13-7-14.7