Why can I only visit certain doctors?

Your health plan works with a provider network. A network is a group of doctors, hospitals and
other health care providers who have an agreement with a health plan to give members medical care.
Each health plan has a network of doctors for regular visits and specialists when you need certain
services, like physical therapy.

Show All Answers

1. What is NC Medicaid Managed Care?
2. What is NC Medicaid Direct?
3. Is Medicaid eligibility changing?
4. What is a primary care provider (PCP)?
5. What is a health plan?
6. Do I have to choose a health plan?
7. Will I lose any services when I enroll?
8. What do I need to do?
9. What is the deadline to enroll?
10. What happens after I enroll?
11. Can I change my health plan after I enroll?
12. When can I call to get help?
13. Can I keep my current primary care provider (PCP)?
14. Why can I only visit certain doctors?
15. What if I have a scheduled visit with a doctor who is not in my health plan’s network?
16. What if I have a chronic health condition, standing appointments or an upcoming surgery/procedure?