12/18/2025
💭 “Why does my doctor have to be in network?” Patients often ask us this frustrating but important question when it comes to care. We all know healthcare can be an incredibly complex system to understand. So, we're going to help shed some light on the situation! 💡
Insurance plans place many rules around which clinicians you can see and how much you will pay for care, and these rules are often confusing.
💙 At Verve Health Advanced Primary Care, we believe patients deserve clear explanations and the freedom to choose their own provider.
That is one reason our direct primary care model gives you access to your clinician without worrying about networks or hidden fees.
In order to be in network, providers must follow specific billing rules, coding guidelines, documentation standards, and authorization requirements.
💰 These administrative tasks take time, increase overhead costs, and often pull attention away from direct patient care. Many highly skilled clinicians choose to leave insurance networks for this reason.
Most providers went into the field of medicine to HELP PEOPLE, not be handcuffed to rigorous and everchanging billing requirements.
Because insurance companies determine which clinicians are included, patients often feel restricted. You may want to see a provider with a certain specialty, approach, or communication style, but traditional insurance may not allow it without significant financial penalties.
All of this makes the question “Why does my doctor have to be in network?” a sign of how restrictive the traditional insurance model can feel.
At Verve Health, caring for health is truly different. The truth is that under our DPC model, you do not need networks at all. Instead, you join our practice for a predictable monthly membership that covers all your primary care with no surprise fees.
In DPC, your relationship is with your clinician, not with an insurance company. This means…
✅ No co-pays
✅ No deductibles
✅ No out-of-network charges
✅ No surprise billing
✅ No restrictions on which clinician you can see
Your membership gives you direct access to the provider you want without worrying about whether they are in network.
Without insurance barriers, we can focus on prevention, lifestyle guidance, mental health support, chronic condition management, and whole-person care. You get the support you need instead of whatever the insurance plan defines as covered.
📧 Contact Us Today 📞
If you are tired of wondering why your doctor has to be in network and want a simpler, more personal approach to primary care, our team at Verve Advanced Primary Care is ready to help you experience the ease and freedom of direct primary care. Reach out to us today to get started. 🤝
https://verve-health.com/contact/
(317) 573-7600
