your doctors are not correct. the government has absolutely no role in selecting which practices participate in the health plans being sold through the marketplaces. rather it's private insurance companies and doctors together that decide whether they will engage in a business contract. that's always been the case and the aca does nothing to change that. however the law does place new requirements on insurers -- chief among them that they can no longer deny people who are sick access to a health plan. in response many carriers are reducing the size of the provider networks they offer as a way to manage their financial risk since they can no longer do so by refusing to cover sick people among other changes. the idea is to offer smaller networks that they say are more efficient and cost effective to deliver care. many patients however are simply finding they have fewer doctors from which to choose. you have two options: 1) review the list of doctors available in the plan you have and begin to receive your care from physicians who do participate. 2) before the end of this month if you're not happy with your plan you may be able to switch to one that does include your doctors -- if that is your doctors participate with any of them.
who decides who can keep their doctor and/or their insurance? . my aca insurance plan has one gastro and one dermatologist for a county of 200 000 residents. also these two are not my doctors. my doctors told me they wanted to accept the insurance but the government picked/chose which offices could participate. not only did i lose my insurance i am losing my doctors of 30 years. why is my situation called a phony nightmare or lie?