out of network
Not plan-approved
Out of network describes healthcare providers or facilities that don't have a contracted agreement with a patient's insurance plan.
Seeing an out-of-network doctor typically means higher costs—bigger copays, higher deductibles, or no coverage at all: The specialist I wanted was out of network, so I paid full price.
Insurance companies maintain networks of approved providers who agree to set rates; going outside that network shifts more expense to the patient.
- providerOne who furnishes things
- insuranceContractual risk coverage
- health planOrganized healthcare financing scheme
- claimStatement of ownership or truth
- deniedRefused or disavowed
coverage · deductible · copay · cost sharing · out of pocket · referral · prior authorization · reimbursement · billing · surprise billing · medical bills · surprise · emergency · hospital · premium · exclusion · allowance · balance
- insuranceinsurance, coverage, auto insurance, life insurance, home insurance
out of networkin-network
Contracted with your insurer
connected · affiliated · included · integrated · inside
network, outing, outer, outermost, outward, outwardly, without, work, netted