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Parent Question

What do I do if there are no in-network providers close to my house?


Published: Jun. 12, 2025Updated: Jun. 12, 2025

Choosing an in-network provider is often the easiest way to get your child's care covered by your insurance plan, but what if all the in-network providers live far away from you?

Undivided's Director of Health Plan Advocacy, Leslie Lobel, recommends that you obtain your health plan’s network contracted provider list and make calls to those within a 20-mile radius or one-hour drive time of your home zip code to confirm that none of these contracted providers are able to deliver the care your child requires. Then, you can begin the process of advocating for your health plan to reimburse you for an out-of-network provider at the in-network rate.

See our step-by-step guidance to help you advocate for network-level reimbursement from your health plan.

Care goal
Increase out-of-network reimbursement to network level
13 steps
13 tasks
If your health plan has a lack of access to a qualified and available network contracted provider, you may be able to get reimbursed at the in-network rate for seeing an out-of-network provider.
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