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.
Care or treatment you receive from dentists or other providers who are not participating providers. Out-of-network services are covered, but you may be billed for the balance.
under the PPO, care or treatment you receive from physicians, hospitals, or other health care professionals who are not participating in a physician network.