Health Insurance – Is Your Doctor Or Medical Center Part Of Your Insurance Plans In-Network Providor?
The difference between in-network companies and out-of-network providers.
Many people don’t understand that not all insurance companies will cover every doctor in a particular area. Or if they do there might be a penalty that you will have to cover in order for you to use a your family doctor.
Insurance companies work with a select collection of clinics, doctors, as well as pharmacies called in-network providers. They have agreements with these companies that state that they will simply charge you so much for a procedure or prescription. This helps the insurance company keep its charges down.
If your physician is in their network and lets say you have a standard physicians visit the doctor may have a set price that they can charge you, lets say $100. Seeing as the insurance company is aware of ahead of time what the charge will be they do not have to worry about getting a larger than expected bill.
If you visited an out-of-network doctor for the same exam, since this doctor is not part of your plan’s network, they might charge you $150 costing your insurance company extra money.
don’t feel terrible for the insurance companies since it will not really be them who will pay the extra charge. They generally will pass those costs on to you. They do this by charging you a higher co-pay or increase the percentage you pay with your co-insurance payment. generally they get you with both.
When searching for your new plan you will want to see if your doctor will be included in their network. I’d start by contacting your medical doctors office and see what carriers they except. Then check with those carriers and see if they have any plans that fit your needs. If not I’d talk to your existing physician and see if they’d be willing to recommend one of the medical doctors in your plan.
When you are searching for your new health insurance plan I recommend working with a brokerage company that works with multiple insurance companies that can get you the best rate. They should have a live person call you, so that you don’t miss any important questions like if your existing family physician is included in their plan.
And a reminder that if you are planning on having a baby in the near future, make sure you’re getting the coverage you need. Many companies claim to cover many of the expenses, but may fail to tell just how much you will actually get when the time comes.
There are many really high-quality providers that you can work with, shop around to make certain your get the best coverage for your requirements. When I was shopping for health insurance I discovered I’ve got coverage.com, they had the best customer service of all the companies I checked with. They took the time to get to understand me and uncovered requirements that I didn’t understand I had. I highly recommend you give them a call at 1-888-312-3439 code 63218092 or visit them at ivegotcoverage.com
to get your free quote.
Visit Doug’s blog for more information on Health Insurance plans plans.
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