Doctor and Health Provider Lookup

Doctor and Health Provider Lookup

By Carrier (for Individual Health):
Select “An Individual Plan purchased directly from Aetna or a Broker (off-exchange)”.
*The “on-exchange” link does NOT work for Georgia at this time.
Select your state of residence “Georgia”
Scroll down to 2016 Plans, Select “Georgia Managed Choice Open Access w/Pediatric Dental”, click Continue.
Enter your doctor’s name and zip code.  SEARCH
**When typing doctor name, some will show up in a drop-down list.  If your doctor does NOT show up in the drop-down, STILL SEARCH.  Often these doctors are still in network.
Then ‘Search as a Guest’ and Continue. This is a slow and cumbersome site.  You have to go through several drop downs;

  1. How do you get insurance?  I buy it myself (or plan to buy it myself)
  2. Who do you buy your insurance from? Choose either Marketplace/Exchanges or BCBSGA (directly or though a broker)
  3. What state do you want to search in?  Georgia, of course!
  4. What type of care are you searching for?  Medical
  5. Select a plan/network.  Choose either Bronze or Silver PATHWAY HMO and select Continue
  6. NEXT SCREEN – enter doctors name and your zip code in location and SEARCH.
Select ‘Enter Provider Search’ from the middle of the page.
Next, select CoventryOne HMO as the network and enter zip, etc.
Coverage type: “Individuals & Families”
Enter your zip code
Network: “National POS – Open Access”
Search: “Name”
Enter the doctor’s name, “last name, first name”; if shows up in drop-down list, click on it.  If not, just search anyways.  Sometimes the doctor may still be in-network.


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3461-F Lawrenceville-Suwanee Rd

Suwanee, GA 30024

(678) 546-7890


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