What happens if I see a doctor outside of my network?

It depends on your plan. 

Generally, Preferred Provider Organizations (PPOs) will pay a portion of any care you receive from an out-of-network provider while Health Maintenance Organizations (HMOs) will not. Exclusive Provider Organizations (EPOs) may or may not. 


For more information about your plan's out-of-network coverage, consult the plan's summary of benefits. 

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