Network Coverage Rules
For PPO Plan members: You can choose to receive care from out-of-network providers. Our plan
will cover services from either in-network or out-of-network providers,
as long as the services are covered benefits and medically necessary.
However, if you use an out-of-network provider, your share of the costs
for your covered services may be higher.
For Special Needs Plan (SNP) members: It is important to know which providers are members of our network because,
with limited exceptions, while you are a member of our plan you must use
network providers to get your medical care and services. The only exceptions
are emergencies, urgently needed care when the network is not available
(generally, when you are out of the area), out-of-area dialysis services,
and cases in which ATRIO Special Needs Plan authorizes use of out-of-network
You can view our contracted providers and facilities by selecting one of
these PDF directories or by using the search tool below. If you need assistance
finding a network provider, please contact Customer Service.
The provider network may change at any time. You will receive notice when
Provider Directory (PDF)
Directorio de Proveedoroes (PDF)
Please note: This PDF directory is current as of
2/07/2019. Some network providers may have been added or removed from our network
after the time this directory was created. We do not guarantee that each
provider is still accepting new members.
The Search Tool below is updated daily.
SEARCH MEDICARE PROVIDERS