Whether you have moved to a new city, your doctor is retiring, or there have been changes to your network, finding a new doctor can seem difficult. After all, the relationship you form with your doctor can have a real effect on your health.
With that in mind, Coupe makes it easier to identify not just high-quality doctors in your community, but doctors who may offer better value too. That way, you can find a doctor who is right for you and your family, while also seeing your out-of-pocket cost ahead of time in the Coupe member portal.
How Coupe rates providers?
Coupe rates doctors by Preferred (green), Standard (gray), and Non-Preferred (yellow). Preferred doctors offer high-quality care at the best value. Using a broad national provider dataset, doctors are assessed based on quality, appropriateness, and cost-efficiency of care.
Members are not simply seeing a random label. The rating is meant to help you compare providers more clearly and make more informed choices before scheduling care.
What makes a provider Preferred?
Preferred doctors meet Coupe’s standards for quality, appropriateness, and cost-efficiency on a more consistent basis. With a Preferred Provider, you can access higher-quality care, and the overall cost of care is often lower. That is why you will generally see a lower copay when choosing a Preferred Provider.
This is not about choosing a “cheaper” doctor. It is about overall value. In healthcare, better clinical outcomes can lead to lower overall treatment costs, which is why quality and value go hand in hand.
What if your doctor is rated Standard or Non-Preferred?
If your doctor is rated Standard this means your doctor may offer average performance compared to peers or may not yet have rating data available. Most providers in a member’s network are rated Standard. This means you’ll pay midrange in-network copays.
If your doctor is rated Non-Preferred this means your doctor may offer lower-value care than their peers. These providers may not meet established quality measures, may have patterns of overtreatment, or may increase overall costs. As a result, you’ll generally pay the highest available in-network copays.
Depending on your situation, now might be a good time to explore a new provider who could offer better care at lower costs. Coupe is not narrowing the network or taking away your options. You can choose to see any in-network doctor you prefer, whether that provider is rated Preferred, Standard, or Non-Preferred. The choice is yours. The difference is that now you have a clearer picture of the overall value of your options.
If you already have a relationship with a doctor who is not Preferred, you do not need to switch. If you are satisfied with the care you receive, you can continue seeing that doctor. You will benefit from upfront cost information to plan ahead.
Coupe helps members understand where quality and value meet.
How to find a preferred provider?
Finding a Preferred doctor is easy using Coupe’s intuitive member portal and app. Members can search for doctors by name, reason for a visit, condition, facility, or location. Search results display a green, gray, or yellow marker to easily compare options before scheduling care.
When you need help finding a Preferred Provider, you can call the number on the back of your member ID card or the number listed on your employer’s benefits site to talk with a Health Valet. If cost clarity is a concern, you can find guidance on understanding healthcare costs upfront.
Higher quality, smarter value.
Coupe members have access to a broad national network of doctors. This includes cost and quality information that can help you make a more informed decision about your healthcare. Compare your options so you understand where quality and value meet.