Almost all group health insurance and individual health insurance policies have provider networks. These are groups of physicians and hospitals that have contracted with a health insurance carrier, dental insurance carrier or vision insurance carrier to provide discounted rates in exchange for a volume of patients.
Click on the insurance carrier below to go directly to their provider director to help you find a doctor. If you don't see your carrier in the list, Click Here to contact us directly. For more information regarding the different types of provider networks see additional comments below.
HMO Health Insurance Plans
Health Maintenance Organizations (HMO's) typically have fewer providers, but are the lowest cost. These plans generally require a referral from a primary care physician to see a specialist and offer no coverage other than emergencies out-of-network.
Nevada health insurance carriers that offer HMO plans include Health Plan of Nevada, Anthem Blue Cross Blue Shield, Aetna and Prominence Health Plan.
PPO Health Insurance Plans
Preferred Provider Organizations (PPO's) offer more flexibility than HMO policies, but are often higher priced. They do not require a referral from a primary care physician to see a specialist and offer out-of-network coverage at a reduced coinsurance amount .
Nevada health insurance carriers that offer PPO plans include Sierra Health & Life, Anthem Blue Cross Blue Shield, Aetna, Prominence Health Plan and UnitedHealthcare. Idaho health insurance carriers that offer PPO plans include Anthem Blue Cross of Idaho, Regence Blue Shield, PacificSource and Select Health.
EPO and CCO Health Insurance Plans
Exclusive Provider Organizations (EPO's) and Coordinated Care Organizations (CCO's) are somewhat of a hybrid between an HMO and a PPO plan. Like HMO's they only offer coverage outside of the network for emergencies; however, like a PPO they generally do not require a referral to see a specialist.
Nevada health insurance carriers that offer EPO plans include Sierra Health & Life.. Idaho health insurance carriers that offer CCO plans include CCO plans.
3160 W. Sahara Ave. Ste. A25
Las Vegas, NV 89102
Click Here to Email Us