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Insurance Glossary

Network

Health

Definition

In health insurance, a group of healthcare providers (doctors, hospitals, pharmacies) that have contracted with an insurance company to provide services at discounted rates to plan members. Using in-network providers typically results in lower out-of-pocket costs.

Definición en Español

ES

Red de Proveedores

En el seguro de salud, un grupo de proveedores de atención médica (médicos, hospitales, farmacias) que han contratado con una compañía de seguros para proporcionar servicios a tarifas con descuento a los miembros del plan. Usar proveedores dentro de la red generalmente resulta en costos de bolsillo más bajos.

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Related Terms

PPO
Preferred Provider Organization - a type of health insurance plan that offers more flexibility than an HMO, allowing members to see out-of-network providers at a higher cost without referrals.
HMO
Health Maintenance Organization - a type of health insurance plan that requires members to use network providers and obtain referrals from a primary care physician to see specialists.
Accident Insurance
Insurance coverage for unforeseen bodily injury resulting from an accident.
Copayment
A fixed amount you pay for a covered health care service, usually when you receive the service.
Coinsurance
A cost-sharing arrangement where the insured pays a specified percentage of covered expenses after the deductible is met.
Out-of-Pocket Maximum
The most you have to pay for covered services in a plan year. After you reach this amount, the insurance pays 100% of covered services.
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