What is a network? A network (also called provider network or preferred providers) is a group of medical providers (hospitals, doctors, specialists, pharmacies, etc.) that have contracted with an insurance company to provide medical care at an agreed-upon rate. What is in-network vs. out-of-network care? In-network care is medical care obtained from a provider within your plan’s network. Out-of-network care is medical care obtained from providers outside of your plan’s
Health Insurance Glossary
Shopping for health insurance? Deciphering the costs and provisions of the various plans out there can be very confusing. Here are some key terms that will help — whether you’re selecting a new plan or just trying to figure out your existing one. Quick-Reference Guide to Health Insurance Terms Allowed Amount – (also known as eligible expense, payment allowance, or negotiated rate) Your health insurance company has negotiated a pre-agreed
