What is a provider network?

A provider network is a group of healthcare providers and facilities that have agreed to provide healthcare services to individuals covered under a specific health insurance plan. In Washington, these healthcare providers and facilities have agreed to accept a certain payment amount for services delivered, and in exchange, the health insurance plan agrees to cover all or most of the cost of care. Provider networks can include doctors, hospitals, pharmacies, and other healthcare providers. The network will also include specialists who can provide care for specific medical needs. Depending on the type of health insurance plan, the provider network may include primary care providers who provide more general care, such as family doctors, pediatricians, and internal medicine specialists. The provider network may also include hospitals, urgent care centers, and other facilities. For individuals in Washington with health insurance, it is important to understand their provider network. Different plans may have different provider networks and network providers may change over time. Finding a provider in the network can help ensure that you have access to medical care covered by your plan.

Related FAQs

What is a medical reimbursement account?
What is a qualified health plan (QHP)?
What is a self-funded plan?
Who is eligible for health insurance?
What is a cost sharing reduction (CSR)?
What is the Affordable Care Act?
What is an out-of-pocket minimum?
What is an excluded service?
What is an independent review organization?
What is a primary care physician (PCP)?

What is a provider network?

Related FAQs

Related Blog Posts