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62 chapters · 1,376 sections in this title.
Idaho Code § 41-6501 "ROUTINE PATIENT CARE costs" defined
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41-6501. "ROUTINE PATIENT CARE costs" defined. "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. Rou…
Idaho Code § 41-6502 required coverage
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41-6502. required coverage. The issuer of a health benefit plan shall provide benefits for routine patient care costs to an enrollee in connection with an approved clinical trial. For purposes of this chapter, "approved clinical trial" means a phase I, phase II, phase III, or pha…
Idaho Code § 41-6503 research institutions
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41-6503. research institutions. The issuer of a health benefit plan is not required to: (1) Reimburse a research institution conducting a clinical trial for the cost of routine patient care provided through the research institution unless the research institution, and each health…
Idaho Code § 41-6504 limitations on coverage
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41-6504. limitations on coverage. 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 (…