Surveys and data are limited, so it's difficult to gauge the extent of the issue, but anecdotal evidence from patients and providers show it is a struggle. Some newly insured patients wonder whether it's worth paying for coverage they can't actually use. Even when they do find a provider, reports show they face crippling out-of-pocket costs they didn't expect.
Doctors or hospitals may be left out of insurance networks for many reasons; the decision is usually up to the insurance company, not the provider, but it usually comes down to reimbursement, which can be lower through plans obtained via the Obamacare marketplace.
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