What should I do if my doctor is not in the network?

If an individual finds that their doctor is not in the network covered by Simply Healthcare Plans, there are several steps they can take. First, it is important to review the specific plan details to understand the implications of receiving care from an out-of-network provider. Many plans offer a directory of in-network doctors, and consulting that may provide alternative options. If the individual prefers to continue seeing their current doctor, they can inquire directly with the doctor's office about potential reimbursement for out-of-network care. In some cases, Simply Healthcare Plans may allow for partial coverage or out-of-network benefits, though this often depends on the particular plan they are enrolled in. Additionally, individuals may want to explore options for switching to another provider who is in the network if consistent coverage is a priority. It is also advisable to check the Simply Healthcare Plans website for additional resources, including possible contact information or further clarification on their policies regarding out-of-network care. This way, individuals can make informed decisions about their healthcare options.