Questions & answers · Health insurance
My doctor just left my plan's network in the middle of my treatment. Can I keep seeing them at in-network cost?
Health insuranceWho paysChecked Nov 6, 2026
From K.Actuary, founded by Sangmin Kwon, ASA · sources checked 2026-11-06 · Source: U.S. Code (Cornell LII copy) · 42 U.S.C. § 300gg-113 Continuity of care (PHS Act § 2799A-3) · (a), (b) and Effective Date note View original ↗
In short
- A federal law can let you finish a course of care with a provider who leaves the network.
- It can last up to 90 days.
- It covers a serious illness, pregnancy, a planned surgery and more.
What this means
This answer is about a federal law for group health plans and for group or individual health insurance (42 U.S.C. 300gg-113). The sources here do not cover Medicare Advantage or Medicaid plans [1].
The law applies when your provider or facility has a contract with your plan, and that contract ends while you are a "continuing care patient." It also applies if your benefits for that provider end because the provider's terms in the plan change [1]. A contract that expires or is not renewed counts as ended. A contract ended for failure to meet quality standards, or for fraud, does not count [1].
You are a continuing care patient if, with that provider or facility, you are in treatment for a serious and complex condition, or in inpatient or institutional care. You also are one if you are scheduled for a nonelective surgery, are pregnant and in treatment for the pregnancy, or are terminally ill and in treatment [1].
The plan must tell you in time about the end of the contract and your right to elect transitional care. It must give you a chance to tell it you need that care [1]. If you elect, the plan must keep providing benefits on the same terms as if the contract had not ended. This is for the course of treatment that makes you a continuing care patient. It lasts from the date of the notice until the earlier of two things: 90 days, or the date you stop being a continuing care patient [1]. The law applies to plan years that begin on or after Jan. 1, 2022 [1]. The sources here do not say how your plan takes your request, or what your state adds. "Don't know yet" for your plan.
Your next step
Ask your plan in writing: is my provider's contract ending, what is the notice date, and how do I elect transitional care? The sources give no deadline for telling the plan. Ask the plan how and when to tell it. Keep the notice date, because the 90 days run from it.
Check it yourself
Open the statute in Source 1 and match your case to the five continuing care patient types. Your plan's provider-termination notice and member papers say how to elect - "Don't know yet" for your plan.
Where this comes from (1)
[1] U.S. Code (Cornell LII copy) · 42 U.S.C. § 300gg-113 Continuity of care (PHS Act § 2799A-3) · (a), (b) and Effective Date note · checked 2026-11-06
In the case of an individual with benefits under a group health plan or group or individual health insurance coverage offered by a health insurance issuer and with respect to a health care provider or facility that has a contractual relationship with such plan or such issuer (as applicable) for furnishing items and services under such plan or such coverage, if, while such individual is a continuing care patient (as d…
How we found this
We matched your question to 1 official source, quoted the exact lines, and re-checked each quote against its source on 2026-11-06.
What we don’t know yet
Your own plan or notice may say something different. If your letter cites another rule, send it and we will look again.
Every answer is checked against the official rule it quotes.
Information only — not legal advice. Your plan, insurer or agency decides.
This answer quotes the official sources listed above, with the date we checked them. Your own policy, notice and state rules control. We are not your lawyer or your insurer. We don’t file, argue or negotiate claims for you — you send any letter or form yourself.
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