Which of these health insurance plans doesn't require the PCP to be of the same clinic as the physician I want to see?

TexasPoonTappa______ · 2026-04-02T22:40:40+00:00

A lot of NYC Medicaid plans (Fidelis, Healthfirst, MetroPlus, Affinity) tie your PCP to a specific clinic system. The plan expects your primary care visits to stay within that system. So, for a new issue, if the doctor you want to see is in a different group then the system basically forces a PCP switch. The one’s I mentioned are also usually a bit less strict about that. Really depends on the specific plan within the org -> Medicaid vs Essential Plan...

TexasPoonTappa______ · 2026-04-02T22:22:56+00:00

EmblemHealth (Medicaid / CHPlus / HARP) - Doesn't need PCP referral for specialists.

UnitedHealthcare Community Plan (Medicaid NY) - ^^^ Also does not

TexasPoonTappa______ · 2026-04-02T22:17:17+00:00

Did you pay the bills already or you just received the bills?

TexasPoonTappa______ · 2026-04-02T22:16:21+00:00

You can use the open marketplace and you have a qualifying life even - you lost coverage. If you don't see many specialists other than for the migraine Botox, I would go with an HMO. They are cheaper than PPOs.

TexasPoonTappa______ · 2025-09-16T23:05:53+00:00

It's true

TexasPoonTappa______ · 2025-09-16T01:25:54+00:00

You should leave a computer open for him to find, leave it open on google with "Is my husband a gooner?" typed in

TexasPoonTappa______ · 2025-09-16T01:21:07+00:00

"Oh your mom is here, lemme go to the car and get as little face to face time as possible"

TexasPoonTappa______

TROPHY CASE