What should I do if my physician is not in-network?

Asked 3 months ago
If your physician is not in-network with Harvard Pilgrim Healthcare, you have a few options to consider. First, it is important to review your health insurance plan details. Harvard Pilgrim typically offers information on in-network providers through their website or member portal. By locating an in-network physician or specialist, you may benefit from lower out-of-pocket costs and coverage that aligns with your plan. If you prefer to continue seeing your current physician, you might discuss your situation with them. Depending on their willingness and the specifics of your health insurance, they may have the ability to negotiate or apply for in-network status with Harvard Pilgrim. Another option could be to consult with a representative from Harvard Pilgrim, as they can provide additional guidance on how to proceed, including any potential out-of-network benefits that may apply. Additionally, if you are seeking urgent or specialized care, it may be worthwhile to ask your physician for recommendations for in-network providers who can meet your needs. For the most accurate and personalized information, visiting the website of Harvard Pilgrim Healthcare may be beneficial, as it will provide the current resources you may need.
Adam Goldkamp is the editor / author responsible for this content.
Answered Sep 10, 2025

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