Some parts of the health care law are easier to understand than others.
Take, for example, the choice of primary care doctor and Ob/gyn requirements.
Many health plans require members to choose a primary care doctor.
This selection helps ensure each member has a doctor who is their primary way of accessing health.
It also helps in the coordination of care from multiple doctors.
And that leads to better health outcomes and lower costs.
Having a primary care doctor is important
But the law also recognizes the need to let consumers choose their own doctors.
As a result, if a health plan requires a member to choose a primary care doctor –
the law says the member can choose any primary care doctor in the plan’s network.
…Assuming they are accepting new patients.
In addition, the law requires the health plan to allow direct access to Ob/gyn care from a network physician
although a plan can require pre-authorization for certain services.
This is just one example of how the law works.
For Aetna members, not much has changed,
since being able to choose your doctor was already a part of in most plans.
But, if you want to learn more, you should check out the Choice of Provider web page.