Idaho § 41-6501 “ROUTINE PATIENT CARE COSTS” DEFINED

Idaho Statutes

§ 41-6501 — “ROUTINE PATIENT CARE COSTS” DEFINED

Idaho·Title 41 INSURANCE·Ch. 65 COVERAGE FOR PARTICIPANTS IN CLINICAL TRIALS

"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. 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

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"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. 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.

Idaho § 41-6501 (“ROUTINE PATIENT CARE COSTS” DEFINED) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.