Basically in a situation where i have a more complex medical conidition. Live in NJ but only 20 mins from philly which has many world renowned medical facilities. My insurance does not cover any of the specialized places in philly since it is out of state. I did get established with one practice in philly by going through insurance and somehow they covered 400/600$ of it despite my plan saying no out of state coverage? Not gonna question my insurance on that…

Now im in a situation where my NJ provider is basically saying my issues are more complex and is wanting me to see the provider in philly who is more equipt to handle my illness.

Can my nj provider force my insurance to cover me for this reccomended provider in philly?