Primary care physician or physician assistant.

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  • (1) shall permit an insured to select a participating provider who:
    • (a) is an:
      • (i) obstetrician;
      • (ii) gynecologist;
      • (iii) pediatrician; or
      • (iv) physician assistant who works with a physician:
        • (A) providing primary care; or
        • (B) described in Subsections (1)(a)(i), (ii), or (iii); and
    • (b) is qualified and willing to provide primary care services, as defined by the health care plan, as the insured's provider from whom primary care services are received;
  • (2) shall clearly state in literature explaining the policy the option available to insureds under Subsection (1); and
  • (3) may not impose a higher premium, higher copayment requirement, or any other additional expense on an insured because the insured selected a primary care physician in accordance with Subsection (1).




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