insurance

Provider Network

医療機関ネットワーク (iryō kikan nettowāku)

A provider network is the set of doctors, hospitals, pharmacies, and other healthcare facilities that have contracted with an insurance plan to provide services at negotiated rates. Using in-network providers results in lower cost-sharing for the patient. Networks vary in size and geography — some plans have broad national networks while others, particularly HMO and EPO plans, have narrower local networks. Patients should verify network status directly with both the insurer and the provider, as directories can be outdated.

Network adequacy — whether a plan's network has enough providers of each specialty within a reasonable distance — is regulated by states and the federal government.

In 9 languages

Language	Term
English	Provider Network
Japanese (日本語)	医療機関ネットワーク
Chinese (中文)	医疗提供者网络
Korean (한국어)	의료 공급자 네트워크
Portuguese	Rede de Prestadores
Spanish	Red de Proveedores
Filipino	Provider Network
Thai	เครือข่ายผู้ให้บริการ
Vietnamese	Mạng lưới nhà cung cấp
Romanization	iryō kikan nettowāku

Related terms

• In-Network Provider ネットワーク内プロバイダー
• Out-of-Network Provider ネットワーク外プロバイダー
• HMO (Health Maintenance Organization) HMO（健康維持機構）
• PPO (Preferred Provider Organization) PPO（優先医療機関組織）

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