US Medical Term · insurance
Participating Provider
Proveedor participante
In 9 languages
| Language | Term |
|---|---|
| English | Participating Provider |
| Spanish (Español) | Proveedor participante |
| Chinese (中文) | 參與提供者 |
| Korean (한국어) | 참여 공급자 |
| Vietnamese (Tiếng Việt) | Nhà cung cấp tham gia |
| Filipino (Tagalog) | Participating provider |
| Portuguese (Português) | Prestador participante |
| Thai (ภาษาไทย) | ผู้ให้บริการในเครือข่าย |
| Japanese (日本語) | 参加プロバイダー |
What it means
A participating provider is a doctor, hospital, or other healthcare provider that has signed a contract with an insurance company to accept the plan's negotiated rates as payment in full for covered services. Also called an in-network provider, a participating provider agrees not to bill you more than your required cost-sharing (deductible, copay, or coinsurance) based on the allowed amount. Seeing a participating provider generally results in lower out-of-pocket costs. Before scheduling care, always verify your provider's participation status with your specific plan — provider networks change, and a provider may participate in some of an insurer's plans but not others.
How to say it
Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:
Is Dr. Ramirez a participating provider with my insurance plan?
¿El Dr. Ramírez es un proveedor participante con mi plan de seguro?
Can I get a list of participating providers near me for my specific plan?
¿Puedo obtener una lista de proveedores participantes cerca de mí para mi plan específico?
My provider said they are in-network — can you confirm they are a participating provider with my plan?
Mi proveedor dijo que está en la red — ¿puede confirmar que es un proveedor participante con mi plan?
Where you'll see it
Related terms
Sources
Last reviewed: September 2026