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What is the difference between “in-network” versus “out-of-network” benefits?

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What is the difference between “in-network” versus “out-of-network” benefits?

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A. “In-network,” or contracted providers, have agreed to accept fee schedules negotiated by networks. They are not allowed to charge you for covered services in amounts beyond your specified co-pay, deductible, and/or coinsurance amount. The combined amount paid by you and the plan must be accepted as payment in full. “Out-of-network,” or non-contracted providers, may charge considerably higher amounts. Therefore, if the billed amount exceeds the Allowable Charges fee schedule, your provider may bill you the difference. It is best to utilize in-network providers whenever possible. If you should decide to go out of network, it is recommended you discuss additional charges with your provider before services are rendered. Q. What is Term Life Insurance? A. Term Insurance is designed to provide death benefits for during a specified period of time, such as 10 years, 20 years or 30 years. It may be used when the need is for a relatively short period of time such as a mortgage or other loan.

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