You typically pay less for doctors and services who are in network than those who are out of network.

When someone is ready to enter rehab, insurance can feel like one more obstacle standing between them and treatment. Many people search for a program, find one that feels like the right fit, and then ...

Contract showdowns between hospital systems and health insurers are happening more often, and patients are caught in the middle. In recent months, disputes over expiring contracts have led to tens of ...

Your out-of-pocket maximum is the most that you would have to pay for health services during a year. After you reach your plan’s out-of-pocket maximum, your insurance company will cover 100 percent of ...

Last winter, Amber Wingler started getting a series of increasingly urgent messages from her local hospital in Columbia, Missouri, letting her know her family’s health care might soon be upended. MU ...

Recent moves in some states by insurers to restrict the use of out-of-network facilities by their members have created a headache for many ASCs around the country. Although out-of-network facilities ...

A snowbird's HMO card covers the ambulance ride to a Phoenix ER, but the cardiology appointment she booked three weeks before that trip operates under an entirely different set of rules that could ...

Physician groups are speaking out against an upcoming Anthem policy that would penalize hospitals for using providers not within the payer's network. Anthem announced the "Facility Administrative ...

Executive SummaryThere is no more controversial issue in the outpatient market today than out-of-network billing. It is important to understand the risks as well as the benefits for your ambulatory ...