Section 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 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.Effective:7/13/2004
Amended 2004, Ky. Acts ch. 59, sec. 7, effective7/13/2004. -- Amended 2000, Ky. Acts ch. 262, sec. 25, effective 7/14/2000. -- Created 1998, Ky. Acts ch. 496, sec. 29, effective 4/10/1998.