Find a provider

Find a primary care provider

Once you’re enrolled in Apple Health, your next step is to find a primary care provider, sometimes called a PCP.

What is a primary care provider?

A primary care provider helps you stay healthy, manage ongoing conditions, and catch problems early before they become emergencies. Your primary care provider can be a doctor, nurse practitioner, physician assistant, naturopath, or a clinic with several providers.

Why is primary care important?

Even if you feel healthy, it’s important to choose a PCP and make your first appointment. This helps you catch problems early. Primary care providers:

• Help you when you are sick.

• Help you manage long-term health problems.

• Send you to a specialist if you need extra care.

If you have a managed care plan

Most Apple Health clients are enrolled in a managed care plan. If you are in a managed care plan, you must choose a provider who is in your plan’s network. If you do not choose a PCP, your plan will choose one for you

How to find a provider that accepts your health plan

Select your plan name from the following list to find a provider in your health plan's network or call your health plan for help.

Apple Health managed care plan provider directories

If you don't have a managed care plan

Some people have Apple Health coverage without a managed care plan. This is also known as fee-for-service. If this is you, you can see any provider who accepts Apple Health.

How to find a provider who accepts Apple Health

If you don't have Apple Health coverage with a managed care plan, use the Find a Provider tool to locate a provider who accepts Apple Health.

Find a dentist

• Visit DentistLink or call 1-844-888-5465.
• Find an Apple Health dental provider for children (InsureKidsNow).
• Use the Find a Provider tool to find an Apple Health dental provider or call 1-800-562-3022.

Apple Health covers dental care. Use your ProviderOne card to get dental services.

How to choose the right provider

Make sure you choose a provider who meets your needs. For example, you may want to ask for someone who:

• Speaks your language.
• Understands your culture.
• Specializes in your disability or health needs.
• Matches your preferred gender.

Frequently asked questions

What if I don't know what kind of Apple Health coverage I have?

If you don’t know whether you have Apple Health with a managed care plan, you can watch our video on understanding your Apple Health coverage.

What if I need specialty care?

Your primary care provider may refer you to a specialist if you need specialty care. Contact your primary care provider and make an appointment if you have a health concern that may require additional care.

Can I change my provider?

If you are unhappy with your provider, you can choose a different one by following the steps on this page.

What if my provider is out of network with my current Apple Health plan?

If the provider you want is not in your health plan's network, ask the provider which health plans they accept through Apple Health. If another Apple Health plan is available where you live, you can change to that health plan.