What is an in-network provider?

An in-network provider is a health care provider that has a contract with a health insurance company. This means the provider is part of the insurance company’s network and agrees to accept a set fee schedule for services rendered. In Texas, insurance companies must offer you a choice of in-network providers, so you can shop around for the right doctor and get the best deal. For example, if you have a health plan that requires you to use only in-network providers, then you must make sure the doctor or hospital you are visiting is a part of that network before you get care. The cost of care from an in-network provider is usually lower than if you go out-of-network, so it’s important to check if your doctor or hospital is in-network before you get care. You can visit the Texas Department of Insurance website to find out more information about in-network providers in the state and compare plans and services offered by different insurance companies.

Related FAQs

What is a capitated plan?
What is a plan exclusion?
What is a self-funded plan?
What is a pre-authorization?
What is the primary care physician rule?
What is a medical necessity review?
What is a coinsurance penalty?
What is health insurance?
What is a Health Savings Account (HSA)?
What is an insurance premium tax credit?

What is an in-network provider?

Related FAQs

Related Blog Posts