What is the difference between in-network and out-of-network coverage?

In-network and out-of-network coverage refer to the healthcare providers or facilities that are included or excluded from an insurance plan's network. In-network providers have agreed upon contracted rates with the insurance company, resulting in lower costs and higher coverage for the insured individual. These providers have met quality standards set by the insurance company, ensuring appropriate care. Out-of-network providers, on the other hand, have not established agreements with the insurance company, resulting in higher costs for the insured individual and potentially lower coverage. Out-of-network coverage may still be available, but typically at a higher out-of-pocket cost to the insured individual. It is important for individuals to review their specific health plan to determine the coverage and costs associated with both in-network and out-of-network providers.