Provider Network
Insurance Glossary
The doctors, hospitals, pharmacies and other providers a health plan has contracted with to deliver care at negotiated rates. In-network care costs less and is protected from balance billing, while out-of-network care costs more or is not covered at all depending on the plan type. Networks change during the plan year, so a provider who is in-network when the plan is bought may not be months later, and the plan directory is where current participation is confirmed.
This content is for general informational purposes only and is not insurance, legal, or financial advice. Coverage, exclusions, eligibility, and pricing vary by insurer, by policy, and by state, and only the policy documents control what is covered. Always confirm the details of any coverage with a licensed insurance agent or the issuing carrier before you buy.
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