Current as of January 01, 2020 | Updated by FindLaw Staff
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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;
(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.
Cite this article: FindLaw.com - Idaho Statutes Title 41. Insurance § 41-6501. “Routine patient care costs” defined - last updated January 01, 2020 | https://codes.findlaw.com/id/title-41-insurance/id-st-sect-41-6501/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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