Out−of−network definition
Out−of−network means providers and facilities that haven’t signed a contract with your health plan to provide services. Out−of−network providers may be allowed to bill you for the difference between what your plan pays and the full amount charged for a service. This is called “balance billing.” This amount is likely more than your in−network costs for the same service and might not count toward your plan’s deductible or annual out−of−pocket limit. Your health plan coverage may not cover out− of−network services when you agree (consent) to receive services from the out−of−network providers.