An out-of-network provider is a health care provider that has not entered into a contract with one of the three networks used by LSU First (First Choice, Aetna ASA, or Verity). Providers cannot be required to join a network, and without a network contract, LSU First cannot limit how much an out-of-network provider charges a patient. You should be aware that even if a facility such as a hospital or surgical center is in one of the LSU First networks, these facilities may employ or contract with providers including radiology, anesthesiology, pathology or emergency room physicians that do not contract with the same network(s).
To receive maximum financial benefits from your LSU First Plan and avoid unexpected costs, you must ensure that all of your healthcare providers are in one of the LSU First networks. If you are planning to receive services in a facility such as a hospital or surgical center, you should contact the facility’s admissions or billing department to find out the names of the physicians or physician groups that work in their facility. Before you receive services, you should confirm each provider’s network status by clicking on “Search for Providers” or by calling 855-346-5781.