Provider List for Medicare-related Health Insurance Coverage

Provider List for Medicare Advantage Health Insurance Coverage
Important - please only list providers that are important for you to be in-network.

For example, if you had an ankle surgery 12 years ago, and you'll likely not see that provider again (or you would be flexible to see a different surgeon), then do not list that provider. If you have providers which you don't really care whether or not they are in-network because you'd be 100% OK changing, please don't list them. This list should only reflect providers that you want to make sure are in-network.
Name*

First NameLast Name
Please Help Us With Accuracy

*Important - please check the spelling of your providers' names; we recommend googling the doctor, or looking at an official business card, to confirm spelling*

Please fill out the form - please don't forget to include your preferred hospital.

	Name of the Provider (Full First and Last Name)	Important Zip Code of Provider	Provider Type (i.e., Doctor - including Specialist, Hospital, Dentist)
Provider 1
Provider 2
Provider 3
Provider 4
Provider 5
Provider 6
Provider 7
Provider 8
Provider 9
Provider 10

Provider List for Medicare Advantage Health Insurance Coverage