What is the difference between in-network and out-of-network providers?

In-network providers have a contract (to provide care at a pre-arranged, discounted cost) with your insurer and out-of-network providers do not. To help you make the most of your healthcare account dollars, you will want to access in-network providers. It is important to pay particular attention and be diligent about keeping track of your in-network and out-of-network spending.

Be aware—there are different rules that may apply to in-network and out-of-network care. Most plans that include provider networks apply different out-of-pocket limits, deductibles, or both, to in-network and out-of-network care. Know your plan details and be diligent in keeping track of your in-network and out-of-network spending. Pay particular attention and adjust any of your provider choices if you’re close to satisfying one limit but not the other.

Coaches' Takeaway

In-network providers have a contract (to provide care at a pre-arranged, discounted cost) with your insurer and out-of-network providers do not. To help you make the most of your healthcare account dollars, you will want to access in-network providers. It is important to pay particular attention and be diligent about keeping track of your in-network and out-of-network spending.

Tools & Resources

CDHPCoach’s Storage Facility, where the Coach has organized and compiled a vast amount of tools and resources for you to access.

Library

Housed here are key components and information within the book, Bend the Healthcare Trend which was the impetus behind the CDHPCoach.