Plan a visit
Tell us what you need. We’ll show whether it’s covered, whether your doctor takes your plan, what it really costs where you live, and what to do before you go.
Answers for:
Work at a doctor’s office?
Here as a patient?
Tell us what you need. We’ll show whether it’s covered, whether your doctor takes your plan, what it really costs where you live, and what to do before you go.
Is it covered?
Specialist visits are usually covered, but the exact doctor must be in your plan’s network.
Prior authorization or a referral is sometimes needed. Ask the office to check with your plan when you book. HMO and many POS plans require a referral from your primary care provider before the first specialist visit.
For employer or Marketplace plans. Full answer and sources · Check against my own plan
Will your doctor take your plan?
Add a doctor above to check them against your insurer’s directory.
Find in-network cardiologist near youBefore you go
Ask whether it needs prior approval
Your doctor’s office requests it. Without it, the plan can refuse to pay.
Make sure every provider is in network
Out-of-network care can cost far more or not be covered at all.
Get a written estimate
Ask the office for the billing codes and an estimate. Uninsured or paying yourself? You’re entitled to a good-faith estimate.