There are oodles of pdocs in my area, but only a handful that take my insurance, even though my insurance is rather common (Aetna). You end up on a long waiting list for good ones. Others have low patient ratings. Many people in my area go to out of network pdocs, including me. My pdoc is great and worth the extra expense. Luckily I did eventually find a good in network tdoc, but it took a while. She even saw me pretty quickly in the beginning. I've been seeing tdoc for 4 years now. Pdoc for almost 12.