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What does “in-network” and “out-of-network” mean?

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What does “in-network” and “out-of-network” mean?

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If you receive your healthcare services from a hospital, physician or other health provider that participates in your health plan, they are considered “in-network.” Hospitals, physicians or other health care providers who do not participate in your health plan may be referred to as “out-of-network.” You may have a higher co-insurance and/or co-pay for out-of-network services. In some cases, out-of-network services are denied totally.

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