When they purchased the plans, what part of “Preferred Provider Organization” did they not understand? PPO means that benefit payments are restricted to only approved doctors or hospitals.
Frequently PPO plan networks contain a lot of doctors. If the insurance company misrepresented which doctors would be available under the Obamacare plan, then the complainants may have a case.
I think they are accusing Blue Shield of misrepresenting the preferred doctors who were on the plan. I read this earlier. It is called bait and switch. These docs were listed as on the plan even though they had not agreed to sign contracts. Used to be highly illegal in the California insurance industry. I used to be part of it for many years.