In typical PPO plans, subscribers would have higher co-payments if they visited an out-of-network provider rather than an in-network provider. RELATED : ThedaCare, Network Health parting ways ...

Mann said ThedaCare and Network Health Plan are in discussions to extend their partnership through Dec. 31, 2016. "We're willing to do that today," Mann said.

The health law does provide protection for consumers when they receive emergency care from a hospital that's not in their provider's network. In such instances, health plans can't charge consumers ...

A point of service (POS) health insurance plan allows you to get out-of-network care at a higher cost than in-network care. Here's how POS health insurance plans work.

The Smiths' health insurance plan, known as a "high-performance network" (HPN), only covers in-network doctors and hospitals. This type of coverage offers cheaper premiums for employers and ...

We've worked with many accountable care organizations (ACOs), health plans and specialty provider network organizations as they navigate the regulatory and business changes in healthcare.

While there are few “one-size-fits-all” solutions to ensure health plan network adequacy, California, Colorado, Illinois and Nevada have gleaned key lessons and best practices that can inform ...

In its July 2014 edition of Trend Watch, the AHA said in addition to offering tiered-network health plans, employers are also frequently using reference pricing, in which the employer will pay the ...

For emergency services: Plan participants will no longer be required to pay more than the in-network cost-sharing amount for out-of-network emergency care services (including air ambulances).

Since 2010, Network Health has been a top-ten NCQA Ranked Health plan. This year, through continuous quality and service improvement, Network Health received the highest possible rating in the ...

The nearly 50,000 Brevard County members of Health First Health Plans health insurance will be the most likely to benefit from the agreement. That includes 26,158 in Medicare Advantage plans, as ...

Given the choice this past fall, about one quarter of nearly 5,000 employees at St. Paul Public Schools opted for a new "narrow network" health plan in 2019. Called SmartCare, the new option from ...