Your situation: Your doctor is leaving your network

 

This action plan applies to you if: 

  • You have health insurance (this applies to most types of health insurance)
  • Your provider is leaving your health insurance network

 

Not your situation?

Answer a few questions, and we’ll get you to the right place.

Get a different action plan for your bill

 

We’re here to help

Contact the No Surprises Help Desk for help in over 350 languages and for information in a format that’s accessible to you. You can also ask a question online using our complaints form.

Get help in Español, Français, عربي, русский, नेपाली, and 350 other languages:  1-800-985-3059

 

Action Plan

You may be eligible for 90 days of in-network coverage. And you can find an in-network provider for your future needs. Here's what you can do.

 

Ask your provider if you're a “continuing care patient.” If you are, you may have an extra 90 days to visit your provider and pay in-network rates. 

“Continuing care patients” can get care from their provider at in-network rates for up to 90 days.

This includes patients that:

  • Are undergoing treatment for a serious and complex illness 
  • Are undergoing institutional or inpatient care
  • Are scheduled to get non-elective surgery
  • Are pregnant and undergoing treatment 
  • Are terminally ill

Ask your provider if you fit this definition.

 


Talk to your health insurance company. Ask how much it will cost to keep seeing your current provider.

Call or chat online with your health insurance company. They can tell you how much it would cost to get care out-of-network.

This will help you figure out if you should stick with your current provider, or find one that’s in-network.

 


Find an in-network provider for more affordable care.

Using an in-network provider will save you money. Here’s how to find an in-network provider:

  • Ask your friends or family for recommendations.
  • Ask your current provider to recommend a new, in-network provider.
  • Call your health plan, visit their website, or check your member handbook to find providers in your network.

Once you’ve found a new provider, give them a call. Ask if they’re taking new patients, and if they’re in your health plan’s network.

 

Still have questions? Find the answers you need in a way that works for you.

Call the No Surprises Help Desk

Get answers about the No Surprises Act. Call our Help Desk at 1-800-985-3059. We can help you in English, Spanish and over 350 other languages.

Get help

Find a patient advocate near you

Patient advocates can help you navigate the healthcare system. Work with an advocate to get the care and resources you need.

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Page Last Modified:
11/05/2024 03:38 PM