Individual Health Insurance Plans- In-Network Providers vs. Out-of-Network Providers

When looking for a new Individual Health Insurance Plan it’s important to know what your looking for in your plan.

Such as what doctors are in their plans network. You’ll want to make sure that your doctor is included if you have one.

The difference between in-network providers and out-of-network providers.

Insurance companies choose a select group of doctors, clinics, and pharmacies that they will work with. They sign agreements with them stating that the doctor or clinic will only will only charge x-amount for certain procedures. This keeps the cost down for the insurance companies.

So how this works is this. You go to your in network doctor for just a regular visit your doctor has a set price of $100 that he can charge since he’s included in your plan.

Now you go to another doctor for the same type of visit and they’re not included in your network. This time the doctor could charge $150, because they not obligated to charge the same amount.

However, the insurance companies rarely pay the extra cost, it’s normally passed on to you. They do this by charging you a higher co-pay or increase the percentage you pay with your coinsurance payment. Normally they get you with both.

If you have a family doctor that you wish keep you’ll want to contact them to see which insurance companies that they except and see if those companies have a plan that fits your needs. If not you may need to consider finding another doctor that is in the plan that you’ve chosen. If you must change I’d get a referral from your current doctor.

When making a decision as important as your health insurance you’ll want to make sure you take your time and to find a plan that will meet all your needs and that you can afford.

With the Internet it’s quick and simple to get multiple quotes in a few minutes. Always check at least 2 sites prior to making your decision.

Get more information on how to choose the the right Individual Health Care Plan for you and your family. Go to I’veGotCoverage.com for your free Health Insurance quote.