Out-of-Network Copayment

Out-of-Network Copayment

Mon, 02/10/2020 - 14:37

A fixed amount you pay for covered health care services to providers who do not contract with your health insurance or plan.

HMO and EPO plans do not include out-of-network coverage. Meaning you may need to pay all.

PPO and POS plans include both in-network and out-of-network coverage.

Out-of-network copayments usually are more than in-network copayments.

♦ An out-of-network provider does not need to accept the amount your insurance decides to pay. The provider will likely bill you for the difference.

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