Health Insurance Plans- In-Network Providers vs. Out-of-Network Providers
When looking for a new Individual Health Insurance Plan it’s important to know what your looking for in your plan.
Such as what doctors are in their plans network. You’ll want to make sure that your doctor is included if you have one.
What’s the difference between an in-network and out-of-network provider?
Insurance companies work with a select group of doctors, clinics, and pharmacies that they have agreements with to keep the cost down for the insurance companies.
How does this effect you? Lets say you go into an in-network doctor for a standard check up. The doctor has an agreement with your insurance company that he’ll only charge you $100 for your visit.
Now you visit an out-of-network doctor for the same exam. Since this doctor is not part of your plans network they can charge you $150 costing your insurance company extra money.
Most network insurance plans cover their cost by passing it on to you. They do this by either charging you a higher co-pay or a larger percentage for your coinsurance, usually both.
Make sure when shopping for your new plan that your current family doctor is included in the plan. Start by contacting your doctor to see what insurance companies they work with, then check with those companies and see if they have a plan that meets your needs. If not you may have to find another doctor. If so I’d see if your current doctor would be willing to provide you with a recommendation for a new doctor.
As with any major decision when purchasing your health insurance I recommend that you take your time to make sure you’re getting the best deal that meets your needs.
There are several on line sites that make it quick and easy to get several quotes in one spot, I recommend checking out at least 2 or more before make a decision.
Check out these insurance sites to help you select your new Health Insurance Plan. ehealthinsurance.com and Health Plans of America.. This article, Health Insurance Plans- In-Network Providers vs. Out-of-Network Providers is released under a creative commons attribution license.
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June 16, 2011
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Posted by Jeff Kenzie
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