Fact Sheet

Provider Networks in Medicare Advantage

Medicare Advantage allows beneficiaries to choose from a high-value network of providers that must meet strict standards to ensure access to care. Provider networks enable plans to better coordinate care and improve health outcomes for enrollees while creating efficiencies in the Medicare program.
 

Key Facts

  • A provider network is a defined group of health care providers that contracts with a plan to provide care to enrollees.
  • Medicare Advantage offers beneficiaries several plan options with various types of provider networks.
  • Provider networks are strictly regulated to ensure access to all covered benefits.