Out-patient care is good if you doctor hunt and find a good doctor. Some specialist are good but most are mediocre at best and when you are really sick (me) and go to the hospital that's when it all goes down hill. Dirty, old hospitals with terrible "care". They run tests, kick you out the door and mean time still suffering. NO diagnosis or misdiagnosis. Trying real hard to switch plans. Need to wait for open enrollment. Hope I'm still alive by then.