I changed my plan two years ago to one that allows me to be in control of who I see and when - and there are no limits. I don't have any need for a PCP on file or to refer me to specialists. I can see any specialist who will see me, whenever. I confirmed that fact once more with the insurance company's patient advocate when I decided to see the DO.
So, the only control that the MD can have in this situation is to refuse to provide me service if I don't adhere to their terms. She never actually said that was a possibility, just that they keep all services within their system. IF the justification is that way they can keep the communication organized/computerized - well, HA HA! They can't even keep the simplest info organized. I'm going to once again be doing that part myself. Oh, well.
The DO is a board certified internist doing BOTH traditional and alternative medicine. Real enough. But, if I tell the MD that I am seeing her for alternative treatment, which I am, my MD can't really do more than cluck her tongue and roll her eyes - like she does about some of my supplements and evidently now my primal diet. I can also refuse the mammogram in favor of a thermascan - which my insurance covers equally with a mammogram - one of the few companies to do so.
I guess I am not going to be in the running for a gold star from the MD, but being a "good patient" is not my priority.