Network (In-Network vs. Out-of-Network)

In Network vs Out of Network

In-Network vs. Out-of-Network: What It Means for Your Healthcare | Aura Insure Glossary

A health insurance network is a group of healthcare providers and facilities that have contracted with an insurance company to provide services at negotiated rates. Understanding the difference between in-network and out-of-network care is crucial for managing your healthcare costs.

Key Points:

• In-network providers have agreed to accept your insurance plan's contracted rates.

• Out-of-network providers haven't contracted with your insurance plan.

• Using in-network providers typically results in lower out-of-pocket costs.

Example: If your plan has a $30 copay for in-network doctor visits and 40% coinsurance for out-of-network visits, a $100 visit would cost you $30 with an in-network doctor, but potentially $40 with an out-of-network doctor.

At Aura Insure, we’re here to help you understand all aspects of your health plan, including how out-of-pocket maximums impact your coverage. Contact us today to learn more about finding the right plan for your needs and budget.