What You Should Know About Provider Networks

What You Should Know About Provider Insurance companies may have different networks for different plans, so make sure you’re searching the provider network of each specific plan you compare. Networks You can also call the insurance company’s customer service phone number to check if your providers are in the plan’s network. If you travel a lot, check to see if the plan’s network has providers where you might What’s a provider network? need care. A provider network is a list of the doctors, other health Before you apply care providers, and hospitals that a plan contracts with to provide medical care to its members. These Visit HealthCare.gov/see-plans to compare providers are called “network providers” or Marketplace plans and estimated prices before you “in-network providers.” A provider that isn’t contracted enroll. When you compare plans, you can search for with the plan is called an “out-of-network provider.” your doctors and health care facilities. You’ll also be able to check if each plan includes your doctors and How can I see if my doctor is in a facilities in its network. plan’s network before I choose a ® Once you find a plan you like, you can print or email Health Insurance Marketplace plan? the information so you’ll have the full plan name and Make a list of all the providers you use. “Providers” can 14-digit Plan ID when you’re ready to apply through the include doctors, psychologists, or physical therapists, and Marketplace and enroll. health care facilities, like hospitals, urgent care clinics, or pharmacies.