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

Terms Used In Idaho Code 41-6504

  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories; and the words "United States" may include the District of Columbia and territories. See Idaho Code 73-114
(2)  This state, unless the health benefit plan otherwise provides benefits for health care services provided outside this state.