My GP took me off of paxil cold turkey which landed me in hospital. Condition of my release was that pdoc do meds. None were taking new patients in network for my insurance so an out of network pdoc that would take me as new patient was "by law approved" for out of network payment based on my DX. The only bad part was that it was 100+ mile round trip to see him. This was all handled through the patient advocate at the hospital that could quote chapter and verse on why my insurance was required to approve and pay out of network.

Because I crash quickly when changing meds my preference is to see someone that understands and deals with the kinds of meds I need and use.