In-Network refers to healthcare providers that have a contract with your insurance provider. The contract allows certain negotiated/discounted rates for healthcare services. Patients will typically pay less with an in-network provider when using insurance.
Your insurance provider will use a number of factors to determine if a provider is in-network. The address your provider and clinic are located can determine network status. For example, Dr. Avery might be in-network with your insurance plan at 100 Main Street, but her clinic on 100 2nd Ave is out-of-network. The service you receive will also determine network status. For example, your insurance might be in-network for primary care and gynecology but is out-of-network for acupuncture. While Tia receives benefit summary information from most insurance providers, it is always important to check with your insurance provider personally to have a complete understanding of your benefits. Tia’s Care Team is always available to help you navigate network status for providers or specific services prior to appointments if you message in the Patient Portal or call directly.