On my health insurance plans I have an in network and out of network co-pays and deductables. I dont know or understand the difference. I have $500.00 in deductables for in network and $1,500 for out of network... Can someone please explain?
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Doctor and hospitals make contracts with individual insurance companies to cover the insured patients at a discounted rate from their list price. Gets patients for the docs and hospitals and reduces cost for the insurance companies. This is called a "network." If you go to a doc or hospital that does not have a contract with your insurance company, then you have gone "out of network" and it will cost you more. And, if a doc calls in someone to consult with you on your care, and that doc is not in your network, it will cost you more. And his fee may not even count toward your deductable. Lots of traps out there. Gotta be real careful!
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