Health Insurance Plans- In-Network Providers vs. Out-of-Network Providers

Health Insurance Plans- In-Network Providers vs. Out-of-Network Providers

by Jeff Kenzie

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 choose a select group of doctors, clinics, and pharmacies that they will work with. They sign agreements with them stating that the doctor or clinic will only will only charge x-amount for certain procedures. This keeps the cost down for the insurance companies.

So how this works is this. You go to your in network doctor for just a regular visit your doctor has a set price of $100 that he can charge since he's included in your plan.

However, If you had the same visit with an out-of-network doctor, they could charge $150 for the same visit. Costing the insurance more money.

Don't worry because the insurance usually wont loose any money because they pass the cost on to you. They do this by charging you a higher co-pay or a higher percentage for the coinsurance and usually it's both.

When shopping for your new plan you'll want to see if your doctor will be included in their network. I'd start by contacting your doctors office and see what carriers they except. Then check with those carriers and see if they have any plans that fit your needs. If not I'd talk to your current doctor and see if they'd be willing to recommend one of the doctors in your plan.

When making a decision as important as your health insurance you'll want to make sure you take your time and to find a plan that will meet all your needs and that you can afford.

With the Internet it's quick and simple to get multiple quotes in a few minutes. Always check at least 2 sites prior to making your decision.

Check out these sites to help you select your new Individual Health Insurance Plan. <a href="http://www.tkqlhce.com/click-3812850-10359791">ehealthinsurance.com</a> and <a href="http://www.kqzyfj.com/click-5326300-10784342">Health Plans of America</a>.