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In addition to staying in network, you or your doctor may need to get benefit approval or "prior authorization" before you get treatment for certain services for them to be covered. Please check your benefit booklet or your plan's terms if you are unsure.
Even if you're not a member, you can answer a few questions to find the right network to search for doctors.
In addition to staying in network, you or your doctor may need to get benefit approval or “prior authorization” before you get treatment for certain services for them to be covered. Please check your benefit booklet or your plan's terms if you are unsure.
If you or someone you're helping have questions, you have the right to get help and information in your language at no cost. To speak to an interpreter, call the customer service number listed on your member card. If you are not a member, or don’t have a card, call our language assistance line or visit our language assistance page.
If you want a new health plan but not a new doctor, we can help. There are a few things you can do to find out if your plan covers the health care professionals you already visit:
Ask your doctor if they’re part of your plan’s network.
Before choosing a new health plan, you’ll want to check that the doctors you already visit are in that plan’s network. Otherwise, you may end up having to change providers or pay more out of your own pocket.
If your doctor isn’t in your plan’s network but you don’t want to find someone new, you can search for a new plan with a new network. You can do this during Open Enrollment or, if you go through certain life changes, during Special Enrollment.
When you’re facing a new health concern, finding a doctor that specializes in your diagnosis can feel overwhelming. There are a few options you have to get the care you need:
Last Updated: Aug. 24, 2023