Preferred, In-Network and Out-of-Network – understanding these terms
Preferred, In-Network and Out-of-Network – understanding these terms
Preferred Facility
Preferred facilities are in-network facilities that provide inpatient and / or outpatient services to members for a lower co-payment than other in-network facilities.
In-Network Facility
An in-network provider is a healthcare professional, facility or organization that has entered into a contractual agreement with Senior Care Plus to provide medical services to our members. Through this agreement, the provider and Senior Care Plus have established mutually accepted terms that define quality standards, service expectations and reimbursement rates. By participating in the network, providers agree to deliver care in alignment with Senior Care Plus’ commitment to accessible, high-quality and cost-effective healthcare. In return, members benefit from lower out-of-pocket costs and coordinated care experiences.
Out-of-Network Facility / Provider
Out-of-network refers to a provider or facility with which we have not arranged to coordinate or provide covered services to members of our plan. Out-of-network providers are not under contract to deliver covered services and you may be responsible for all costs.
Renown Medical Group • Senior Care – Del Monte • 740 Del Monte Ln., Suite 3 • Reno, NV 89511 • 775-982-5175 – 22 –