Finding a Provider: Understand Your Network Options

Finding a Provider with Sana

Try Sana Care: 100% Covered by Your Plan

Sana members have unlimited access to Sana Care, our primary care and care navigation service with a dedicated team of doctors, nurse practitioners, and care navigators to support your health journey.

With Sana Care, you have:

  • Virtual Primary Care
  • Expert Guidance on Provider Referrals
  • Help Managing Chronic Conditions
  • Prescription Refills
  • And More

➡️ Learn more about Sana Care here: https://secure.sanabenefits.com/explore-sana-care


Are you on a Sana First Health Plan (SFHP)?

Finding a provider works a little differently with Sana First.

For most in-person care, adult Sana First members must start with Sana Care before seeing an outside provider or specialist. Sana Care will evaluate your needs and, when in-person care is needed, connect you with Care Navigation to help find provider options and complete the referral process.

If you receive care that requires a referral without first completing the Sana Care referral process, the claim will be denied and you'll be responsible for 100% of the cost.

Sana First is not an HMO or EPO with a fixed provider directory. Instead, Care Navigation provides a guided path to care and can help identify options through Sana's direct contracts, HealthSmart, or direct-bill providers based on your medical needs, location, quality, availability, and cost.

Finding Care for Children 17 and Under

Pediatric primary and preventive care does not require a Sana Care referral.

If your child's pediatrician recommends specialty care, submit a copy of the pediatrician's referral or after-visit summary to Care Navigation through your child's profile. Care Navigation will help coordinate the appropriate referral and next steps.


Prefer to Search on Your Own?

Follow these simple steps to find providers near you:

  1. Log In to your Sana account
  2. Click the 🔍 in the navigation bar to access Provider Directory
  3. Set your preferred address
  4. Explore top search categories and Care Partners, or search by provider name or specialty

Your search results may include:

  • Care Partners: Best-in-class providers offering high-quality care, often at no-cost for PPO Plus members or either no-cost or free after deductible for PPO Plus HSA members, depending on care type and current IRS regulations for HSA members
  • Contracted Providers: Practices that already recognize and accept Sana
  • Affiliate Network Providers: Providers accessible through our partnerships with HealthSmart. You can also learn here more about Talking to Providers about HealthSmart

➡️ For members on the HealthSmart Preferred PPO Network:

  • You can utilize HealthSmart’s provider search tool
    • Make sure to select the correct network – Preferred PPO

Can’t Find What You’re Looking For?

Sana accepts claims from out-of-network providers without any penalties. If your preferred provider isn't listed, they can still bill Sana directly. Show them your ID card to confirm benefits.

If your provider chooses not to accept Sana, you still have options. Learn more about Flex Care to ensure you get the care you need.

 

Have questions? We’ve got you covered

Connect with Customer Support directly through the chat icon on most Sana pages or call us at (833) 726-2123 Monday through Friday, 7 AM to 7 PM Central

Was this article helpful?
2 out of 7 found this helpful