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

In-network coverage refers to healthcare services received from healthcare providers who have agreed to contractual agreements with Oxford Health Plans. These providers are part of Oxford's network and have agreed to provide services at negotiated rates. In-network coverage usually offers lower costs and higher benefit coverage. On the other hand, out-of-network coverage allows individuals to receive care from providers who are not part of Oxford's network. While individuals may still receive some level of coverage for out-of-network services, these providers have not agreed to contractual agreements with Oxford, resulting in higher costs for the individual. It is important to note that out-of-network coverage may require individuals to meet a deductible and may have limitations on maximum reimbursement amounts. Thus, it is generally recommended for individuals to choose in-network providers to maximize their coverage and minimize out-of-pocket expenses.