Sec. 23. (a) “Out-of-plan covered services” means nonemergency, self-referred covered health care services that:

(1) are obtained from a provider who is:

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Terms Used In Indiana Code 27-13-1-23

  • Contract: A legal written agreement that becomes binding when signed.
(A) not otherwise employed by;

(B) not under contract with; and

(C) not otherwise affiliated with;

the health maintenance organization; or

(2) are obtained from a participating provider without a referral.

     (b) The term does not include uncovered services.

As added by P.L.26-1994, SEC.25.