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In-network vs out-of-network

FreeChapter 13:374 key terms

Staying in-network is one of the biggest levers on what you actually pay. This lesson explains negotiated rates, why out-of-network care costs more (or isn't covered at all), and what balance billing means for you.

What you'll learn

  • What a network is and why in-network care costs less
  • How out-of-network bills and balance billing work
  • How to check whether a provider is in your plan's network

Key takeaway: In-network providers accept a negotiated rate — out-of-network ones can bill you the difference.

Networks & plan types

8 lessons

In-network vs out-of-network, how HMO, PPO, EPO, and HDHP plans decide what you'll pay, and how HSAs and FSAs help you save.

  1. 1In-network vs out-of-network▶ Now playing3:37
  2. 2HMO plans: understanding your coverage3:56
  3. 3High Deductible Health Plans (HDHP)4:00
  4. 4PPO plans: flexibility at a higher cost3:45
  5. 5EPO plans: network-only, no referrals3:30
  6. 6FSA & HSA: an overview4:10
  7. 7HMO vs PPO: which fits you4:20
  8. 8HSA vs FSA: a detailed comparison4:15
Next lesson
HMO plans: understanding your coverage
Next: HMO plans: understanding your coverage