Toll Free: (866) 230-5557Home|About Paladin One|Contact

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

ANSWER:
An in-network provider is one contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates. An out-of-network provider is one not contracted with the health insurance plan. Typically, if you visit a physician or other provider within the network, the amount you will be responsible for paying will be less than if you go to an out-of-network provider. Though there are some exceptions, in many cases, the insurance company will either pay less or not pay anything for services you receive from out-of-network providers.

As a general rule, PPO, POS, and HMO plans make use of provider networks. Indemnity plans typically do not.

« Back To FAQ
Wednesday, May 01st 2024
Featured Products

Health Savings Accounts

You can use this account to pay for your qualified health expenses, including expenses that the plan ordinarily doesn’t cover, such as eyeglasses and hearing aids.

Expenses paid out of the HSA that are eligible expenses under your high-deductible health plan will count toward the plan’s deductible.

Ask About Our $50 Referral Program Apply for insurance today!
  • Aetna
  • Health Net
  • Kaiser Permanente
  • Anthem Blue Cross/Blue Shield
  • Blue Shield of California

370 N. Westlake Blvd., Suite 130 Westlake Village, CA 91362
Toll Free: (866) 230-5557 | Fax: (805) 230-1103 | www.paladinoneins.com