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Doctors participation in ACA

As an entrepreneur tugging along on a shoestring income & budget in california sf-bayarea, i was elated when i got a PPO-Silver plan for my family for a good price through covered-california exchanges.  But my happiness is short lived when i found all our my earlier PPO/Cobra doctors reject this insurance saying they are not participating (stating their own reasons). Now the search for participating doctors has become a nightmare and i am left scrambling for other affordable healthcare options. I feel cheated with such a health insurance plan and it has no value if doctors do not honor it. The doctors directory provided by Insurers is very poor, not-upto-date and confusing.  Do patients have any options in correcting this situation? Is this the weakest link in the ACA? This looks like the revenge of doctors/insurance-providers on ACA to me.


  • Posts: 70
    Well this is something that I think that we will see a lot of variance in, probably depending on a lot of factors.  I think that in an industry like health care, you really do have people with different motivations, so we might see home more affordable options and more doctor participating though, but some it will always depend on if they are getting paid, so I am not really sure what to expect.  It will be interesting to see where it takes us.
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