Some health plans in Washington state, by law, must include access to every type (also called "every category") of licensed medical provider.
What the "Every Category" law means for you
- Health plans must maintain adequate networks with every type of licensed medical provider.
- You have more choice in who will treat your condition.
- The law does not change what conditions are covered by your health plan.
- Health plans can limit the number of times you can see a medical provider for certain conditions.
- Managed care plans may require a "gatekeeper" visit (e.g. your primary care doctor) before they'll refer you to another medical provider.
All medical providers are covered by this law, including licensed massage therapists and chiropractors, who are licensed, registered or certified by the Washington State Department of Health.
Health plans not covered by this law
- Self-funded employer plans or union trusts
- Medicare Supplement plans
- Long-term care insurance
- Limited health plans - such as dental, vision, specific disease, or accident-only
- Workers’ compensation coverage
- Disability income