Idaho Code 41-6501 – “Routine Patient Care Costs” Defined
Current as of: 2023 | Check for updates
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"Routine patient care costs" means the costs of any medically necessary health care service for which benefits are provided under a health benefit plan, without regard to whether the enrollee is participating in a clinical trial. Routine patient care costs do not include the cost:
(1) Of an investigational new drug or device that is not approved for any indication by the United States food and drug administration;
Terms Used In Idaho Code 41-6501
- Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
(2) Of a service that is not a health care service, regardless of whether the service is required in connection with participation in a clinical trial;
(3) Of a service that is inconsistent with widely accepted and established standards of care for a particular diagnosis;
(4) Associated with managing a clinical trial; or
(5) Of a health care service that is specifically excluded from coverage under a health benefit plan.