One of the Essential Health Benefits that all Marketplace plans must cover is Ambulatory patient services (also known as outpatient care, such as a visit to your primary care doctor or a specialist).
Specialty doctors include the following types:
Infectious disease doctor
Otolaryngologist (also known as “ear, nose, and throat” (ENT) doctors)
Non-specialty doctors include family practice physicians, internal medicine physicians, pediatricians, and geriatricians.
Please note that cost varies depending on the office visit benefits offered for a specific plan and if the provider is in or out of network with the insurance carrier.
We recommend double-checking your provider’s network status by calling their office or confirming with the carrier prior to any scheduled appointments.
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