What does the term "network" refer to in health insurance?

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The term "network" in health insurance specifically refers to the group of healthcare providers and facilities that have contracted with a health insurance plan to provide services to its members. When a health insurance plan has a network, it typically means they have agreements in place that outline the payment rates for various services provided by these healthcare professionals and facilities. Members who use providers within their plan's network usually benefit from lower out-of-pocket costs compared to those who go outside the network, where they might have to pay higher rates or may not get coverage at all.

The other options do not accurately define what a "network" is in the context of health insurance. The total number of patients treated by a provider focuses on the volume of care rather than the provider relationships with insurance plans. A program that combines health insurance with wellness initiatives describes an additional service aspect rather than the nature of provider relationships. Lastly, a digital platform used to enroll in health insurance relates to the technology used for enrollment processes rather than the provider network itself.

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