medical provider networks

Medical provider networks are groups of healthcare professionals and facilities that an insurance plan contracts with to provide services to its members. When you have insurance that uses a provider network, you generally need to see doctors, specialists, or visit hospitals within that network to get the most coverage and lower costs. These networks ensure the providers meet certain quality standards and work with the insurance company. If you see a provider outside the network, you might pay more or receive less coverage. Essentially, provider networks help coordinate care and control healthcare expenses for insured individuals.