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How to Use an Insurance Provider Directory

Tips for confirming the exact doctor, clinic, and plan network.

An insurer's provider directory can help identify doctors and facilities participating in a particular plan network. Directories may be organized by plan type, network, county, or product, so choose the exact Marketplace plan rather than the insurer's name alone.

Search and confirm

  1. Locate the provider directory linked from the plan's official webpage.
  2. Choose the full plan name and network, if the directory asks.
  3. Search the specific clinician and service location.
  4. Call the insurer and provider office to confirm participation and the service you need.
  5. Save the date and details of your confirmation.

Networks can change, and a provider listing may not guarantee that every service at the location is covered at the same cost. Also verify laboratories, hospitals, pharmacies, and ancillary providers that may be involved in care.

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