10.07.11.10

.10 Physician Availability.

A. The HMO shall have a physician available at all times to provide diagnostic and treatment services. The HMO shall assure that every enrollee seen for a medical complaint is evaluated under the direction of a physician and that every enrollee receiving diagnostic evaluation or treatment is under the direct medical management of an HMO physician who provides continuing medical management.

B. Each enrollee shall have an opportunity to select a primary physician or certified nurse practitioner from among those available to the HMO.