@alyx@witches.town
I incurred no burden beyond filling out the standard patient paperwork that you have to fill at a new doctor's office. Having a choice of provider for any need and no referral requirement really made it easy to seek treatment for anything.
Having said that, I have not consulted anyone for FFS. I was given HRT by my GP for a long time before she referred me to an endo but I didn't need the referral paperwork because of the PPO.
I miss having a PPO.