How can I find out if my doctor is in my plan's network?

Who is this for?

Michigan Health Insurance – Customer Service – Learn More

If you purchase your own health coverage, this information will help you find out if your doctor participates with the plan you have or want to buy.

Not all doctors participate in every network. So if you want to go to a specific doctor, it's important to make sure they're in your plan's network. We have a few tips to get you started.

Blue Care Network HMO networks: Preferred, Select, Metro Detroit HMO and Partnered plans 

Primary care physicians are key to having an HMO plan. They're your first contact for care. They also refer you to specialists when necessary.

You can use Find a Doctor to see if your current doctor is a designated primary care physician who accepts this plan. Or, you can search for a new primary care physician.

When you use Find a Doctor:

  • Start by selecting your plan from the dropdown menu under Individual or Family plans, or healthcare.gov plans, depending on where you bought it.
  • Then, just type in what you're looking for and enter your address.

 

Blue Cross Blue Shield of Michigan PPO networks: Premier and Multi-State plans 

With a PPO plan, you can choose any doctor you want, both in- and out-of-network, and still be covered. But you’ll pay less when you go to a health care professional or facility in our network.

When you use Find a Doctor:

  • Start by selecting your plan from the dropdown menu under Individual or Family plans, or healthcare.gov plans, depending on where you bought it.
  • Then, just type in what you're looking for and enter your address.

 

Blue Cross Blue Shield of Michigan EPO networks: Metro Detroit EPO plans 

With an EPO plan, you can see the doctors you want without any referrals as long as they're in the plan network. There's no out-of-network coverage except in an emergency.

When you use Find a Doctor:

  • Start by selecting your plan from the dropdown menu under Individual or Family plans, or healthcare.gov plans, depending on where you bought it.
  • Then, just type in what you're looking for and enter your address.

For more information about our networks and how they can affect your choice of doctors, read What do I need to know about the Blue Cross networks?

Are you a Medicare member or get your health plan through an employer or group?

You can use Find a Doctor to locate doctors and hospitals who accept your plan too.

When you use Find a Doctor:

  • Start by selecting your plan from the dropdown menu under Medicare (65 and over) plans or Employer Group plans.
  • Then, just type in what you're looking for and enter your address.