Section 27-13-1-23 - "Out-of-plan covered services"(a) "Out-of-plan covered services" means nonemergency, self-referred covered health care services that: (1) are obtained from a provider who is: (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.