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Term Details - Out-of-Area

A geographic area where a managed healthcare organization does not have contracts with providers to care for its members is considered “out-of-area.” If individuals move out of the contracted area, they may no longer be able to participate in a health plan. If members are traveling outside the area, only emergency or urgent care services may be covered, and coverage may not be as comprehensive as it would be if they were in the covered service area.

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