Health Plans Are Required to Follow Several Regulations and Guidelines

Health plans are required to follow several regulations and guidelines regarding the access and adequacy of their provider networks. The Federal Employee Health Benefits Program (FEHBP) regulations, for example, require that health plans

A) Allow members direct access to OB/GYN services
B) Allow members direct access to prescription drug services
C) Provide access to Title X family-planning clinics
D) Provide average office waiting times of no more than 30 minutes for appointments with plan providers

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