Service Area (Health Care) Law and Legal Definition

Service area refers to an area where a health plan accepts members. It means the area where a service under a particular plan is offered. Each plan has a network area within which a member of the plan must consult the service provider. If a patient goes to a service provider outside the plan except in case of an emergency, then s/he will not receive any benefits under the plan. Even a travel outside a plan's service area would disentitle a beneficiary from benefits and s/he will be disenrolled from the plan.