Choice of Doctors

How does the law protect choice of doctors?

There are three important changes:

  1. Insurance companies cannot assign a person a primary care doctor.  The person can choose who they want within the network of providers (if that is part of the plan).
  2. Parents can choose any participating pediatrician to be their child’s primary care doctor.
  3. Plans are prohibited from requiring a referral for obstetrical or gynecological care.

Do the choice of doctor changes apply to all plans?

No, grandfathered plans do not have to include these protections.