answersLogoWhite

0


Best Answer

Your insurance (if an HMO or PPO plan - as most are) has a "network" of doctors/hospitals who have contracted with your insurer as participants in your specific plan. They are "in network" and using them means lower out-of-pocket costs for you.

What you need to do is check out if your family doctor or any other doctor you have treated with are listed in the in-network doctors for your health plan. If not and considered out of network, you will pay more for each visit.

With in-network, the health insurance has a "negotiated contract" and the doctors are only allowed to charge certain amounts and write off the rest of the bill. So say for instance you go to the family doctor and he charges $100, the contract price maybe $75, so that is all they can charge. But if this doctor is out of network, then you will be out of pocket for the entire $100, since they have no contract with this doctor.

Many times if you have several choices to make in insurance plans, most people will verify if their family dr, OB, pediatrician etc is on that plan to decide which plan to take, or otherwise, you may have to change doctors to get the lower rates.

The insurance company has agreements with certain doctors, hospitals, labs, etc... If you uses one that they have an agreement with then you are using providers that are 'in network.' No agreement....out of network. When you're out of network you have no protections on what the doctor can charge.

User Avatar

Wiki User

8y ago
This answer is:
User Avatar

Add your answer:

Earn +20 pts
Q: What does in network medical insurance mean?
Write your answer...
Submit
Still have questions?
magnify glass
imp
Related questions

What does ACN mean in medical insurance?

American Chiropractic Network. Horrible insurance, bad reimbursement, and a headache for care... I recommend switching providers.


What does 'out of network medical insurance' mean to the provider?

An "out of network"medical provider will not receive payment for services if not pre-authorized by a medical insurance company. It also requires the provider to agree to accept the pay scale if authorized,except in Florida where state law requires insurance companies to pay the providers fees in an emergency.


What does PIP mean in regard to car insurance?

medical insurance


How do you find your personal medical insurance records?

I'm guessing you might mean your medical records? Your insurance records would be wherever you put them. Your medical records, or records of insurance payments would be with the medical provider.


What does coinsurance mean in medical insurance's?

It's secondary or tertiary insurance that is held to cover any medical expenses the primary insurance policy does not cover or does not cover completely.


What does unreimbursed medical expenses mean Does it mean not covered by Insurance you get medical bills all the time from the ex you are only to pay per your divorce Items not covered by insurance?

This does mean expenses are not covered by insurance. If this is what the divorce decree says, then you are responsible for these bills.


What exactly does a cheap medical insurance mean?

A cheap medical insurance simply allows the person to have a small blanket of security if a large medical emergency occurs while paying a minimum amount for the insurance each month.


Will insurance pay for an out of network doctor?

Yes. Health insurance covers all the medical expenses including the non-network doctor. However, the claims process in that case would be different. Expenses under non-network category are reimbursed. You will have to submit the required documents to get the money back.


What does the medical abbreviation LMN mean?

1) Lower Motor Neuron 2) Letter of Medical Necessity (insurance)


How do you cancel your blue shield medical insurance?

I have tricare medical insurance. I want to cancel my blue shield medical insurance. How do I go about doing it? I have tricare medical insurance. I want to cancel my blue shield medical insurance. How do I go about doing it? I have tricare medical insurance. I want to cancel my blue shield medical insurance. How do I go about doing it?


What does medical claim mean?

A medical claim is the application for compensation against a health insurance policy or against another's liability insurance policy for the covered portion of a covered event.


What does HIB mean?

Medicare HIB stands for Hospital Insurance Benefits (vs. SMIB, or Supplemental Medical Insurance Benefits).