§ 27-13-1-23

(a) 'Out-of-plan covered services' means nonemergency, self-referred covered health care services that:(1) are obtained from a provider who is:(A) not otherwise employed by;(B) not under contract with; and(C) not otherwise affiliated with;the health maintenance organization; or(2) are obtained from a participating provider without a referral.(b) The term does not include uncovered services.As added by P.L.26-1994, SEC.25.