What does it mean for coverage to be "in-network"?

Study for the New Mexico Health and Life Insurance Exam. Practice with flashcards and multiple choice questions, each question has hints and explanations. Prepare thoroughly for your certification!

When coverage is described as "in-network," it signifies that services are provided by healthcare providers who have a contractual agreement with the insurance company. These providers are part of the insurance company's preferred network, which typically means they have agreed to certain terms, including negotiated rates for the services they provide. This system is designed to help control costs for both the insurer and the insured, fostering easier access to care and lower out-of-pocket expenses for policyholders.

Utilizing in-network providers is financially beneficial for policyholders, as they often pay lower copayments and coinsurance when they seek services from these approved providers, compared to out-of-network providers. In-network coverage is a key aspect of many health insurance plans, aiming to provide cost-effective care while fostering a network of trusted providers for patients.

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