Friday, September 12, 2014

In-Network versus Out-of Network and How it Can Save You Money

You may have heard that one of the best ways for your clients to save on health care costs is to "stay in network". It's important to educate your clients on what that term actually means and how it can help them save money.

“In network” means we, Solidarity Health Network, have a contract with health care providers. It includes doctors, specialists, dentists, hospitals and other facilities. These health care providers also have a contract with us.  
As part of the contract, the health care providers offer services to our members at a lower rate. This contract rate is usually much lower than what the doctor would charge if he or she is not an Aetna, Anthem or another carrier with an agreement with Solidarity Health Network.  The network doctor then agrees to accept the contract rate as payment. Members pay their coinsurance or copay, along with their deductible, if applicable. View the Aetna Ohio brochure for some examples of how much your clients might save by staying in network.
So what does this all mean? It means members have access to the care they need at a lower price. And the difference in cost can be huge — for the same type of service or procedure.