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