How to find a network provider?

It can sometimes be difficult to find a provider that is accepted by your Insurance Company.  Meaning they are a Network Provider whether you are in an HMO, PPO, etc.   Even in a PPO, you get paid best when using a Network Provider.

FAQ on how to read list of accepted Insurance on a Provider – Hospital Site 

See below on finding a provider in your network and/or

MD & Hospital Finder – Quotit – All Companies

Check our Companies – Carriers  page and then get more detail on how to use their provider finder

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or Direct without Subsidies

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Detailed Video Instructions on using our Quote Engine

detailed instructions to use quote engine

How to use our FREE Quote Engine, Subsidy Calculator  and get the MOST from the experience.

When you get a FREE quote, you can also see the benefits, view actual brochures, MD and Hospital Lists all ONE easy process with no obligation & it can be anonymous.   Enter your zip code, date of birth, family - household taxation relationships (MAGI - Definition),    Estimated MAGI - Modified Adjusted Gross Income for the upcoming - current year.  Last years tax return only gives an idea so that Covered CA can approve your advance tax credit to help pay premiums.

If you qualify for tax credits - subsidies and want them in advance (Pros-Cons) of filing your taxes click on "Health On Exchange" - Covered CAillustrated below.

This website and are individual consultation are provided to you FREE of Charge!  We are paid by Covered CA and/or the Insurance Companies to help you.  When you fill out the Covered CA ONLINE Application, just appoint us as your agent under Find Help in the Upper Right Hand Corner so that we get paid for helping you.  Click here for screen shots for more detail of how to do it.  If you prefer, you can pay us a consultation fee in lieu of appointing us as your agent, for educational services only.

You can then see all the quotes on the exchange, showing the Cost Share Reduction - Enhanced Silver  if available, subsidy - tax credit amount and your net premium.    If you click "Off Exchange" you will see more plans and companies which  may have larger provider lists.   Scroll down for more screen shots.

Then click on "View Plan Details" - "View Doctor's & Providers" - to compare and get more information.  Please note that the quote engine does not show enhanced silver, but shows silver at 70%.  Check our chart for the better silver coverage.

Learn more about the right to change plans when Silver Level Enhanced Changes

To apply, click on apply now or use the links in the right hand column, ON THIS PAGE, but it will have you redo the quote for that specific company.   The price is the SAME, no matter if you use us, go direct to Covered CA or the Insurance Company, as mandated by law!  If applying through Covered CA, be sure to sign the form to appoint us as your agent.  It's not all the easy to figure out how to do it on their website.

If you have any questions email [email protected] or call us 310.519.1335

Covered CA Search

1st use their Shop & Compare Tool

How to see MD list when using our quote engine

Use our Complementary Quote Engine and then click on Find Doctors (Hospitals & Facilities)
Use our Complementary Quote Engine and then click on Find Doctors (Hospitals & Facilities)

Links & Resources

Health  Grades.com   Find an MD and get ratings – we have no control over outside links – evaluate for yourself

California Choice – Web MD Tool – Compare Hospitals Outcomes

CHFC Study on Provider Lists 9.2015

Network, HMO, PPO etc. explanation on Insure Me Kevin.com

Glossary – Definitions

View actual Evidence of Coverage page 14 and check out the definitions and explanations of the role of the PCP Primary Care Physician and IPA Independent Practise Assoc

NEW Provider Finder tools for our clients and future clients, who get free proposals by clicking here for individuals or here for employer groups

Just send us your list (Word & Brown Group Form) of MD’s, specialty, city – address to [email protected]  and we can search ALL Small Group Plans & Networks, we can now do Individual too per Duncan S…  and send you back a report  using the proprietary strenuus.com system, Broker Log In.

What is a provider network Video

Which plan is right for you?  Answer Questions - Get Ranking 

 

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Enrolling in health plans has helped people focus on their families and careers, and feel protected against unexpected medical issues.

I'm in Charles 

 

I'm in Charles

I'm in Sonia  

I'm in Sonia

 

Travel Insurnace

InsuBuy International Medical Coverage – Instant Quotes & Enrollment

Historical

Assurant (Aetna PPO) Not writing Business for 2016   Cedar’s Sinai – Alternatives for 2016

same Narrow Network in or out of Covered CA.

Explanation on Insure Me Kevin.com

 

 

We will grant you that some are very difficult to use, even for us, with advanced degrees in Insurance and 30+ years of experience.   See this page on instructions and this one on narrow lists under Health Care Reform if you need additional help.  SB 137 effective 1.1.2016 hopefully will make things easier.

4 comments on “Provider – Doctor & Hospital Finder

  1. What does it mean, when the provider list says, doctor not accepting new patients?

    They’re saying I’m a new patient because I just signed on with them as my insurance and that my doctor isn’t taking new patients. That’s nonsense. I’ve been with her 12 years.

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