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Out of network insurance provider

Out of network insurance providersearch for term

An out-of-network insurance provider is one which has not contracted with your insurance company for reimbursement at a negotiated rate.
Some health plans, like HMOs, do not reimburse out-of-network providers at all, which means that as the patient, you would be responsible for the full amount charged by your doctor.
While other health plans offer coverage for out-of-network providers, but your patient responsibility such as deductible or co-pay would be higher than it would be if you were seeing an in-network provider.

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