Some Health Plans Have No In-Network Doctors In Key Specialties

A psychiatrist isn't covered under some Affordable Care Act plans.i

A psychiatrist isn’t covered under some Affordable Care Act plans.

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A psychiatrist isn't covered under some Affordable Care Act plans.

A psychiatrist isn’t covered under some Affordable Care Act plans.

iStockphoto

Say you bought health insurance through the federal health exchange, paid the premiums and followed the rules.

And then say you start having pain in your hands. Your doctor refers you to a rheumatologist to test for arthritis.

But when you search for the specialist, there isn’t one there.

That happens more often than you’d think. In fact, as many as 14 percent of health plans sold on the federal government’s insurance exchange are missing doctors in at least one common specialty from their networks, according to a study published Tuesday in JAMA, the journal of the American Medical Association, by researchers at Harvard’s T.H. Chan School of Public Health.

The means patients may find themselves facing big medical bills for care they thought they had bought insurance to cover.

The researchers reviewed 135 health plans in the 34 states that sell health insurance through the federal marketplace

Article source: http://www.npr.org/sections/health-shots/2015/10/27/452254106/some-health-plans-have-no-in-network-doctors-in-key-specialties?utm_medium=RSS&utm_campaign=affordablecareact

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