{"data":{"id":"us-in/ic-27-13-1-23","jurisdiction":"us-in","citation":"IC 27-13-1-23","heading":"\"Out-of-plan covered services\"","body":"Sec. 23. (a) \"Out-of-plan covered services\" means nonemergency, self-referred covered health care services that:\n(1) are obtained from a provider who is:\n(A) not otherwise employed by;\n(B) not under contract with; and\n(C) not otherwise affiliated with;\nthe health maintenance organization; or\n(2) are obtained from a participating provider without a referral.\n(b) The term does not include uncovered services.","path":["TITLE 27. INSURANCE","ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS","Chapter 1. Definitions"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-13-1-23","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"33aa6f8f96ade5ea31a991391e8961db2e6d2c9a7607da5076b7fe961d601abd","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-1-22","next":"us-in/ic-27-13-1-24"},"notice":"GroundRules: Original legal text. Not legal advice."}