A health plan network is the group of providers, practices, and/or facilities that have entered into a contract with a specific health plan to provide covered health care services to the health plan’s members. Network providers, sometimes called participating providers, are providers who have agreed to accept specific reimbursement from health plans for covered services. Seeing an out-of-network provider, sometimes called a non-participating provider, may result in higher out-of-pocket costs for the consumer or may not be covered at all.
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