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304.17A-520 Enrollee choice of primary care providers.
(1) An enrollee shall have adequate choice among participating primary care providers
in a managed care plan who are accessible and qualified.
(2) A managed care plan shall permit enrollees to choose their own primary care
provider from a list of health care providers within the plan. This list shall be <br>updated as health care providers are added or removed and shall include a sufficient <br>number of primary care providers who are accepting new enrollees.
(3) Women shall be able to choose a qualified health care provider offered by a plan for
the provision of covered care necessary to provide routine and preventive women's <br>health care services.
(4) An insurer shall provide a covered person with access to a consultation with a
participating health care provider for a second opinion. Obtaining the second <br>opinion shall not cost a covered person more than the covered person's normal <br>copay or coinsurance amounts.
Effective: July 13, 2004 <br>History: Amended 2004 Ky. Acts ch. 59, sec. 7, effective July 13, 2004. -- Amended
2000 Ky. Acts ch. 262, sec. 25, effective July 14, 2000. -- Created 1998 Ky. Acts <br>ch. 496, sec. 29, effective April 10, 1998.
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