Understanding Health Insurance: Provider Networks
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this is a list of doctors in hospitals
that are connected to your plan
insurance companies negotiate discounts
with these providers stay in-network and
the discounts get passed to you go
out-of-network and you could end up
paying full price in some plans like
HMOs or EPO s your insurance would pay
nothing if you go out of network in
other plans
like PPOs your insurance will cover you
no matter where you go but you'll pay a
lot more if you go out of network sound
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easy enough well sometimes staying
in-network can be tricky in a hospital
it's possible that your surgeon could be
in network while your anesthesiologist
is not if this happens to you don't be
afraid to negotiate with your provider
or file an appeal with your insurer
you