They can differentiate, the medical card has a different letter or number on it signifying ON or OFF market (even with same plan and network). Dr's are at more of a financial risk for ON market. They know both these things.
The whole system is swamped, I agree it's widespread issue. But, ACA is more difficult to find a doctor vs Med supp in this situation. ACA is medicaid plus.
The whole system is swamped, I agree it's widespread issue. But, ACA is more difficult to find a doctor vs Med supp in this situation. ACA is medicaid plus.