What should members do if they receive care from a non-network provider?

When members receive care from a non-network provider, it's essential for them to first check whether their insurance plan covers out-of-network services. This is pertinent because different plans have varying levels of coverage for out-of-network care, which can result in significantly different out-of-pocket costs. Understanding this information helps members make informed choices regarding their healthcare expenditures and ensures that they are aware of any potential higher costs associated with using non-network services.

By actively assessing their plan details, members can determine the extent of their financial responsibility, which may include a higher deductible or co-insurance compared to in-network care. This proactive approach enables them to weigh their options and decide the best course of action for their health needs and financial situation.