{"data":{"id":"us-va/14vac5-211-180","jurisdiction":"us-va","citation":"14VAC5-211-180","heading":"Out-of-area services","body":"In addition to out-of-area emergency services required to be provided as basic health care services, a health maintenance organization may offer  indemnity benefits covering out-of-area services to its enrollees. A description of the procedure for obtaining out-of-area services and notification requirements before obtaining these services shall be included in the evidence of coverage as well as a description of restrictions or limitations on out-of-area services. Except for out-of-area emergency services, a health care plan that requires the enrollee to contact the health maintenance organization before obtaining out-of-area services shall provide for telephone consultation on a 24-hour per day, seven-day per week basis.","path":["Title 14. Insurance","Agency 5. State Corporation Commission, Bureau of Insurance","Chapter 211. Rules Governing Health Maintenance Organizations","Part IV. Services"],"source_url":"https://law.lis.virginia.gov/admincode/title14/agency5/chapter211/section180/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:51:54Z","sha256":"e2d9aa9dfbb5aa7bc0e5c51f019f39a784fe1e5e514cd63809730cb99d80016c","source_id":"us-va-vac","stale":false,"prev":"us-va/14vac5-211-170","next":"us-va/14vac5-211-190"},"notice":"GroundRules: Original legal text. Not legal advice."}