What is a network provider?

A network provider is a health care provider that has a contract with a health insurance company. This contract allows the health insurance company to include the network provider in their list of approved providers. When a person has a health insurance policy with a particular company, they will typically receive the most comprehensive coverage when they use the services of a network provider. In the state of Washington, all health insurance carriers must provide adequate network providers so that individuals can access quality care without having to travel far or pay higher out-of-pocket costs. Network providers are typically hospitals, pharmacies, and health care professionals such as doctors and nurses. In some cases, individuals may also be able to receive coverage when they visit out-of-network providers, however, they may have to pay higher out-of-pocket fees.

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