In network means your insurance company has a contract with certain doctors, health professionals, pharmacies, or medical facilities. When you visit these specific providers or receive these services, you receive a discounted rate.
That’s because your insurance company has negotiated a lower rate for these providers or services, and they pass those savings along to you.
In network doesn’t necessarily mean “free,” though. Your insurance company will probably share the lower bill with you in some form, but a preferred provider can’t charge you the difference in rates for covered services. Depending on your plan, you may have to pay:
- A copay: A small fee for the health service
- Your deductible: A set amount you pay before your insurance kicks in
- Coinsurance: A percentage of the bill that you share with your insurance after you reach your deductible
In most cases, the agreed-upon amounts for a copay, deductible, or coinsurance are only for providers and services that are in network.
