41-6504. LIMITATIONS ON COVERAGE. The issuer of a health benefit plan is not required to provide benefits for routine patient care services provided outside:
(1) Of the plan’s health care provider network, unless out-of-network benefits are otherwise provided under the plan; or
(2) This state, unless the health benefit plan otherwise provides benefits for health care services provided outside this state.
History:
[41-6504, added 2019, ch. 192, sec. 1, p. 605.]
Structure Idaho Code
Chapter 65 - COVERAGE FOR PARTICIPANTS IN CLINICAL TRIALS
Section 41-6501 - “ROUTINE PATIENT CARE COSTS” DEFINED.
Section 41-6502 - REQUIRED COVERAGE.
Section 41-6503 - RESEARCH INSTITUTIONS.
Section 41-6504 - LIMITATIONS ON COVERAGE.
Section 41-6505 - INSURER LIABILITY.
Section 41-6506 - DEDUCTIBLE, COINSURANCE, AND COPAYMENT REQUIREMENTS.