If not, you can call your plan's member services department to learn more about the PCPs who are available. Don't accept a decision as final if it doesn't meet your needs or if you feel you need additional treatment. It never hurts to ask, and asking may result in better care. Be your own advocate. Always ask your PCP to describe treatment options.
Coverage can vary widely among HMOs.
Under this bill, you are guaranteed certain rights as a health-insurance consumer. The new law does not apply if you are insured through a private self-insured employer and you select an option that is not covered by state rules. Federal law instead covers those situations. A patient who receives health care services without being admitted to a hospital. Any medical condition that has been diagnosed or treated within a specified period before the member's effective date of coverage under the group contract.