Am I responsible for the difference between the amount billed by a provider and the allowered amount when I use a non-network provider?
In addition to your deductible and coinsurance, you will be responsible for the difference between the physician’s billed amount and the reasonable and customary amount when you seek care directly from a non-network physician. If you seek care directly from a network physician, you will only be responsible for the deductible and coinsurance for all covered services.
