Doctor and Health Provider Lookup

Doctor and Health Provider Lookup

By Carrier (for Individual Health):

http://www.aetna.com/dse/PublicExchange?site_id=QualifiedHealthPlanDoctors
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.

https://www.bcbsga.com/health-insurance/provider-directory/searchcriteria
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.

http://chcgeorgia.coventryhealthcare.com/services-and-support/members/locate-a-provider/index.htm
Select ‘Enter Provider Search’ from the middle of the page.
Next, select CoventryOne HMO as the network and enter zip, etc.

https://www.humana.com/
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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