My previous GP tried to refer me to a pdoc that didn't take insurance. $250 for the initial consult and $150 for follow-up visits. I said NO Thanks. This issue lead to a disagreement that ended our 15 yr relationship.

I did find a neurologist/pdoc who works in the same practice as my new GP. Luckily my insurance covers these visits.

My favorite is last week I scheduled an appointment to specifically discuss concerns about my medication and a new concern with my doctor. Instead in bops his new PA. When I said that I would prefer to see the physician, she assured me that she could handle all my my concerns and is an extension of the doctor himself. Sorry, I can appreciate the role of a PA, but to act like there is no difference between the MD and an a PA is ridiculous. I can see them helping with follow up visit but evaluating new problems and discussing possible change in medication... I don't think that is appropriate. Also, if you see the PA or the MD they charge you or your insurance company the same rate. This is wrong!