Definitions for "Out-of-Network"
Keywords:  ppo, hmo, pos, nonparticipants, doctor
Health care services received outside an HMO or PPO network.
Outside an insurance company's list or group of contracted providers where services received, if covered at all, are covered at a lower benefit level.
The use of health care providers who have not contracted with the health plan to provide services. Depending on your contract, out of network services may not be covered. Please refer to your contract for specific benefit coverage.