What is a Medical Network?
Having access to an extensive network of hospitals, facilities, providers and suppliers is very important when considering a health insurance plan in ClickMare. In an effort to manage your out-of-pocket costs, it’s also important to make sure the doctor, hospital or specialist you choose is in your provider network prior to seeking care.
Understanding what a provider network is and how it works when shopping for health insurance coverage is one of the first steps to narrow down your plan options.
What is a provider network?
A provider network comprises of the hospitals, facilities and providers ClickMare contracts with to provide healthcare services to its golden members. These providers are often referred to as “preferred providers” or “in-network providers.
The provider networks are critical. WHY?
Provider networks are very important because they help save you money in a few different ways.
For example, ClickMare negotiate directly with the hospitals, facilities and providers for best prices, which results in lower insurance premiums for our members.
Another way provider networks save you money is by reducing your out-of-pocket costs when seeking care.
Visiting an in-network provider usually means lower copays, deductibles and other costs for you.
Finally, when you seek care from an in-network provider, your out-of-pocket costs will be minimal, as in-network providers bill your insurance company directly. This means that you can seek care and won’t be expected to pay a large bill up front; instead the care provider will bill your insurance company first, making any rate adjustments, and then bill you for what you owe after your claim has been processed.
Make note of the network of providers a health insurance company features to ensure your doctors and hospitals are in-network, as networks can vary significantly from plan-to-plan and insurer-to-insurer.