In-Network/Out-of-Network

Managed care plans have agreements with certain doctors, hospitals, and health care providers (in-network) to provide a range of services to plan members at reduced cost. Generally, you have less paperwork and lower out-of-pocket costs if you stay in-network. However, you give up some flexibility. If you decide to go out-of-network-i.e., use a health care provider that is not part of the managed care plan-you will generally pay more for your health care services because you are required to pay the difference between in-network and out-of-network costs.

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