Real answers for your healthcare questions

How do I check if a doctor is in my health insurance network?

Answer

Start with your health plan's online provider directory, but verify the information with both the insurance company and the doctor's office. Provider directories can change, and a medical practice may participate with some plans from an insurer but not others.

What to Know

Use the exact plan name when asking. If you are scheduling a procedure, also check the facility and other professionals who may be involved, such as anesthesiologists, laboratories, imaging centers, or specialists.

What to Do Next

Before receiving non emergency care, save or note the confirmation when possible. If network status is especially important for an expensive procedure, call the insurer using the number on your insurance card.

Agent Perspectives

Get additional insights from licensed health insurance agents

L
Liz Michel Verified Licensed
Independent Health Insurance BrokerMcKinney, TX

The best and most up to date way to check if your doctor is in network with your health insurance is to call the dr's office and ask "Is Dr. xyz in network with (insurance carrier)?"

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