什麼是健康保險金額？
什麼是健康保險金額？
 The allowed amount is the predetermined price that the health insurance company will pay for specific procedures performed by in-network providers. Think of it as wholesale versus retail prices. In-network providers charge the insurance company the allowed (wholesale) amount. In exchange, the providers get a flow of business from plan participants. Out-of-network providers did not agree to the wholesale prices, and do not benefit from the flow of patients participating in a particular plan. They often charge a retail rate when treating out-of-network patients. The patient often owes the difference between the allowed amount, and what the provider charges.
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