Depending on your health insurance, your plan may show different prices for in-network providers and out-of-network providers. A provider who has a contract with your insurance company is called an in-network provider (or sometimes a “preferred provider”). Those who don’t are an out-of-network provider.
References
Centers for Medicare & Medicaid Services. (n.d.). What you should know about provider networks.
HealthCare.gov. (n.d.). Health insurance plan & network types: HMOs, PPOs, and more.
HealthCare.gov. (n.d.). In-network copayment.
HealthCare.gov. (n.d.). Preferred provider.
Why trust our experts?
Written by:
Lauren Smith, MALauren Smith, MA, has worked in health journalism since 2017. Before joining GoodRx, she was the senior health editor and writer for HealthiNation.
Reviewed by:
Karen Hovav, MD, FAAPKaren Hovav, MD, FAAP, has more than 15 years of experience as an attending pediatrician. She has worked in a large academic center in an urban city, a small community hospital, a private practice, and an urgent care clinic.
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