How Do I Pick a Doctor On the Marketplace?
One of the most important parts of picking a health plan on the marketplace is picking a doctor from your plan’s network that’s right for you. But just how does one pick a doctor and where can one go to find this information?
This installment of Texas Medical Association’s (TMA’s) “Hey, Doc” weekly education campaign answers that question.
Note to media: TMA makes this content available for you to reference or publish. Also, TMA physician experts are available to answer your questions. And every Wednesday, TMA posts a new video featuring TMA Board of Trustees Chair Carlos “Hey, Doc” Cardenas, MD. Check out TMA’s video series and a lot more information at MeAndMyDoctor.com and HeyDoc.texmed.org.
TMA’s 12th week of “Hey, Doc” education programming
How do I pick a doctor? Where can I find this information?
Those are tricky questions to answer right now because as you’ve probably heard, there are some glitches with the federal marketplace right now. But once those are sorted out, you should be able to apply online to shop for insurance and then link to a list of doctors in each plan’s network. If you have trouble with Healthcare.gov, or prefer a live person, you can call the marketplace hotline at (800) 318-2596 and a representative should be able to help you with the application process so you can pick a doctor. But remember: Not all plans have the same networks, and it varies by region, so you might want to do some shopping around to make sure you find a doctor or hospital that’s right for you. Some insurance companies have directories of their marketplace plans and networks on their own company websites, so you can check there. You can also find phone numbers for the insurance companies on their own websites, too.
Here are the next two TMA “Hey, Doc” reports:
Week of Dec. 16: Can I keep my doctor or go to my neighborhood hospital when I sign up for marketplace insurance?
Week of Dec. 30: What will it cost me to use this insurance?
TMA is the largest state medical society in the nation, representing more than 47,000 physician and medical student members. It is located in Austin and has 112 component county medical societies around the state. TMA’s key objective since 1853 is to improve the health of all Texans.