General insurance The difference between in-network and out-of-network coverage

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In-network coverage refers to the list of healthcare providers, hospitals, and other facilities that have agreed to a contract with your health insurance company to provide services to you at a discounted rate. These providers are considered "in-network" and your insurance will typically cover a higher percentage of the costs for services received from these providers.

Out-of-network coverage refers to healthcare providers, hospitals, and other facilities that are not part of your insurance company's network. This means that they have not agreed to a contract with your insurance company to provide services at a discounted rate. If you receive services from out-of-network providers, your insurance may still cover some of the costs, but you may have to pay a higher percentage of the costs out-of-pocket. This can sometimes lead to higher out-of-pocket expenses for the insured individual.

It is important to consider whether a healthcare provider is in-network or out-of-network before seeking treatment, as this can have a significant impact on the costs you will incur. If you are unsure about whether a provider is in-network or out-of-network, you can check with your insurance company or ask the provider directly.