Healthcare Asks: In-Network vs Out-of-Network Providers
Brent Hall, Director of Operations in customer service at Premera Blue Cross, answers questions about provider networks and how they can affect members looking for care.
For information about providers in your network, you can use our Find a Doctor tool or call the phone number on the back of your member ID card. https://www.premera.com/visitor/find-...
Visit our website https://www.premera.com/visitor/provi... to learn more about provider networks.
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Chapters:
00:00 - Start
00:25 - What’s the difference between in-network and out-of-network providers?
00:47 - What about emergency care?
01:00 - If in- and out-of-network services are the same, then why are their prices different?
01:27 - What happens if my provider goes out of network?
01:50 - What exactly is a ‘narrow network’?
02:08 - What is a benefit-level exception?
02:39 - What is balance billing?
02:54 - What if I can’t find an in-network specialist that meets my needs?
03:26 - What if I need care when I’m out of state?
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