Definition


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Parity is about fairness. Americans with behavioral health conditions often have more difficulty getting the treatment and services they need when compared to individuals seeking other medical care. Explore parity-related information regarding legislation, statutes, and regulatory actions since the Federal Parity Law was passed in 2008.

Indiana Parity Law

Behavioral Health

The sections of state law relevant to parity requires that if plans offer behavioral health coverage, they cannot use treatment limitations and financial requirements if similar treatment limitations and financial requirements are not used for other medical coverage.

These sections of the law apply to large employer fully-insured plans, individual plans, and state employee plans.

Here are the relevant sections of the law: It is not possible to provide direct links to the specific subsections. You must scroll manually to the proper subsection once the link takes you to the appropriate title, article, and chapter. The specific subsections are listed next to each link.

Section for HMOs (scroll to 27-13-7-14.8)

Section for other commercial plans (scroll to 27-8-5-15.6)

Section for state employee plans (scroll to 5-10-8-9)

Autism

The sections of state law about autism coverage require large employer fully-insured plans, small employer fully-insured plans, and state employee plans to cover autism services. Individual plans must offer optional coverage for autism that can be rejected by the individual.

All plans that provide autism coverage cannot have annual maximums, lifetime maximums, deductibles, or coinsurance for autism services that are less favorable than those used with for other medical services.

Here are the relevant sections of the law:

Except for the section about commercial plans, It is not possible to provide direct links to the specific subsections. You must scroll manually to the proper subsection once the link takes you to the appropriate title, article, and chapter. The specific subsections are listed next to each link.

Section for commercial plans (this link goes directly to the proper location)

Section for HMOs (scroll to 27-13-7-14.7)

Section for state employee plans (scroll to 5-10-8-7.1)

National Parity Map

View the state parity reports to learn about legislation, regulation, and litigation related to parity implementation

National Parity Map

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Common Violations

In seeking care or services, be aware of the common ways parity rights can be violated.