in-network

The lawsuits stem from hospital care where patients were referred to in-network hospitals but received care from out-of-network physicians.

The Seattle Times 2011

“An individual determined to be covered under a health insurance program under subclause (I) shall be referred by the grantee to the existing providers under such program or, if such individual does not have a current provider, to a provider who is in-network with respect to the program involved.”

Think Progress » Purported doctor on Texas A&M message board claims he ‘laid off my first Obama voting employee.’ (Updated) 2010

You are correct in your analyses concerning reimbursement percentages involving out-of-network vs. in-network and medicare/medicaid charges which are ‘negotiated’ and agreed to per contracts with providers (physicians and hospitals).

Wonk Room » AHIP Attempts to Portray Doctors as Villains 2009

According to the Congressional Research Service, the actuarial value of a typical HMO (assuming only in-network usage) is approximately 93%.

Wonk Room » Wall Street Journal Argues For Inadequate Coverage 2009

Including these lower in-network rates would undoubtedly prove that a vast majority of billing rates are lower than the excessive out-of-network rates.

Wonk Room » AHIP Attempts to Portray Doctors as Villains 2009

An individual determined to be covered under a health insurance program under subclause (I) shall be referred by the grantee to the existing providers under such program or, if such individual does not have a current provider, to a provider who is in-network with respect to the program involved.

Think Progress » Purported doctor on Texas A&M message board claims he ‘laid off my first Obama voting employee.’ (Updated) 2010

I was a bit disappointed yesterday that the President failed to answer the last question from the women who had had polio about "in-network" and "out-of-network" providers.

Democratic senator: Public health insurance option dead 2009

Ohio state employees face an out-of-pocket maximum of $3,000 per family for in-network coverage, including a deductible of $400 and a co-insurance rate of 20%.

Collective Bargaining Weakens Cities Robert M. Costrell 2011

“An individual determined to be covered under a health insurance program under subclause (I) shall be referred by the grantee to the existing providers under such program or, if such individual does not have a current provider, to a provider who is in-network with respect to the program involved.”

Think Progress » Purported doctor on Texas A&M message board claims he ‘laid off my first Obama voting employee.’ (Updated) 2010

Typically, Express Scripts—which administers the prescription drug programs for insurers and employers—determines which pharmacies are covered in-network by a particular health plan.

Walgreen, Express Scripts in Kansas City Deal Timothy W. Martin 2011