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Understanding your provider network
A provider network is a list of providers and facilities that an insurance plan contracts with to provide care to its members, typically referred to as in-network providers.
Types of providers
There are two types of providers: in-network provider and out-of-network provider.
An in-network provider or facility is one that an insurance company contracts with to provide services to its members. Using an in-network provider will likely keep your health care costs lower.
An out-of-network provider is one that an insurance company has not contracted with. Services provided by an out-of-network provider are generally more expensive.
How to find a provider
Get Covered Illinois has a tool called the provider directory. The provider directory can help you find insurance plans that your health care provider is in-network with.
How to find a provider
- Access the provider directory by going to enroll.getcovered.illinois.gov/prescreener.
- Answer a few questions about your household.
- Then you can choose to search for your preferred provider by doctor, dentist, or facility name in or near your specified ZIP code.
Which providers are in-network?
When you view plans available in your area, you will see red, yellow or green marks displaying under “my facilities,” “my doctors,” and “my dentists.”
- Red means that provider/facility is out-of-network
- Green means it is in-network
- Yellow means that provider or facility is partially in-network. For example, the dermatology department at a facility may be in-network but rheumatology at the same location is out-of-network.
Please note the information in the provider directory is updated weekly; however, you should always double check your providers directly with the insurance company before seeking care. Your insurance company’s website will always have the most up-to-date information.
New for 2027!
We’ve updated our provider directory to make searching for a provider or facility easier.
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