National Headlines

FOR PATIENTS | What to Do When Your Doctor Leaves Your Health Plan

“Try and assess your health needs for the next year, as much as possible, to know which plan is really worth it for you,” Poblete says. “It’s a very individual decision.”

By Lacie Glover and Michael O. Schroeder | Jan. 16, 2018, at 2:50 p.m.

When you have a good relationship with your doctor, it’s almost like magic – especially if you’ve ever had a doctor you’ve disliked. After all, a good doctor-patient relationship can do wonders for the quality of your health care. You’re more likely to be open and candid, and the doctor is more likely to listen closely and provide better care. That’s why it can be so disappointing to find that your doctor is no longer in your network, meaning your health insurance company no longer covers your visits, or covers them at a lower level. Although most people would love to stick with a trusted provider, out-of-network doctors’ fees are often too steep to pay out of pocket. But for many who are insured through an employer or spouse’s employer, you can’t switch to an insurance policy that does cover your doctor until open enrollment later in the year. That is, unless your employer plan offers mid-year changes (very rare) or you experience certain life events such as marriage, divorce or a new job.



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