Can I see an out-of-network doctor?

Asked 5 months ago
Aetna does allow members to see out-of-network doctors, but the rules and costs associated with doing so can vary depending on the specific plan. Typically, if a member chooses to visit an out-of-network provider, they may have to pay higher out-of-pocket costs compared to seeing an in-network provider. In some plans, an authorization may be required prior to receiving care from an out-of-network doctor, and some services may not be covered at all without this authorization. Moreover, it is important for members to review their plan documentation carefully to understand the specifics of coverage for out-of-network care, including what costs will be incurred and whether certain services are covered. The balance between using in-network versus out-of-network providers can significantly impact overall healthcare expenses. For the most accurate and personalized information, it may be beneficial for members to refer to their plan documents or check the Aetna website. There, they can find detailed information tailored to their specific plan and circumstances.
Adam Goldkamp is the editor / author responsible for this content.
Answered Jul 4, 2025

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