ER Access & Doctor Choice

The Affordable Care Act helps preserve your choice of doctors and opens access to out-of-network emergency services.

Your Doctor

  • You select the doctor: You can choose any available participating primary care provider as your doctor and choose any available participating pediatrician as your child’s primary care doctor.
  • Visit your OB-GYN: You can seek coverage for obstetrical or gynecological (OB-GYN) care from a participating OB-GYN specialist without a referral.

Emergency Medical Services

Health plans cannot require:

  • Higher copayments or co-insurance for out-of-network emergency room services
  • Approval before seeking emergency room services from a provider or hospital outside your plan’s network

Exceptions

For More Information

Content last reviewed on December 9, 2014