Ways To Check If a Doctor Is In-Network

Whether you seek to acquire an individual or group health insurance plan, you want to have a good idea before you sign up which doctors you can see. Perhaps there is a doctor you have seen for years, and you want to continue seeing him or her on this new plan. Always make informed decisions when it comes to securing the best plan for your needs. ​

Verify a Doctor With the Insurance Provider

One option you have to check which network a doctor is in is to acquire the doctor’s tax ID number. You can get this easily by contacting the doctor’s front office. After that, you can get in touch with the prospective insurance carrier. Provide the agency with the tax ID number, and a representative will be able to tell you whether the doctor accepts the plan in question. 

Verify Through the Doctor’s Office

If you have the information for a specific health insurance plan, then you can see if a doctor would accept it by contacting the doctor’s front office. Generally, you simply need to ask the question like this, “Does Dr. Stevens accept the Blue Shield Bronze 60 PPO plan?” Don't worry If you receive government subsidies through a Covered California plan, there is no need to ask if the doctor accepts those marketplace plans. 

Browse Through the Insurance Carrier’s Online Directory

One way to learn this information without having to speak to anyone is to go to the insurance provider’s online directory. You should be able to readily find this on the insurance carriers website. You will be able to search for the doctor’s name and see whether he or she is within your network. However, it's still wize to double check with your doctors office to verify they still accept your insurance plan.

You can learn about an array of health insurance policies with the aid of Sackett & Associates Insurance Services. Request a quote through our online form. Stay informed of the latest insurance news in California by subscribing to our blog.