A policy of accident and sickness insurance must provide coverage for orthotic devices and prosthetic devices, including repairs or replacements, that:(1) are provided or performed by a person that is:(A) accredited as required under 42 U.S.C. 1395m(a)(20); or(B) a qualified practitioner (as defined in 42 U.S.C. 1395m(h)(1)(F)(iii));(2) are determined by the insured's physician to be medically necessary to restore or maintain the insured's ability to perform activities of daily living or essential job related activities; and(3) are not solely for comfort or convenience.As added by P.L.109-2008, SEC.2.
Indiana Legal Code