A health care professional who does not have a written agreement with UNICARE to provide medical services to members.
A doctor, dentist, hospital or other practitioner who does not have a contract with a health plan.
means a duly licensed health care provider, including medical facilities, that has no agreement with PHP for reimbursement of services to Members.
A doctor or hospital that is not part of a managed care plan's network. If you get services from an out-of-network provider, it usually means that you likely will have to pay out of your own pocket for the services you received.
a health care provider that does not participate in a health care provider's network.
A doctor or hospital that is not part of your managed care plan's network. If you get services outside of your plan's network, it usually means that you will have to pay out of your own pocket for the services you received.
Physicians who are not contracted with a managed care plan.
A health care provider with whom a managed care organization does not have a contract to provide health care services. Because the beneficiary must pay either all of the costs of care from an out-of-network provider or their cost-sharing requirements are greatly increased, depending on the particular plan a beneficiary is in, out-of-network providers are generally not financially accessible to Medicaid beneficiaries.
Non-participating providers are health care providers who have not contracted with the health plan to be the provider of health care.
A health care provider with whom an insurer does not have a contract. You must pay either part or all of the costs of care from an out-of-network provider, depending on the provisions of your health plan.