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Kentucky · Snapshot 09/05/2026

KRS 304.17A-520: Enrollee choice of primary care providers.

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Where this section sits in the code

    (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 p roviders within the plan. This list shall be

    updated as health care providers are added or removed and shall include a sufficient

    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

    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

    opinion shall not cost a covered person more than the covered person's normal

    copay or coinsurance amounts.

    Collected 2026-09-05T20:57:47Z. Source file · JSON

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