Access to insurance doesn't mean access to services. Provider directories for some health plans in California are so inaccurate they create an "awful" situation for consumers trying to find doctors, according to research published in Health Affairs. Secret shoppers posing as patients could schedule an appointment with a primary care physician less than 30 percent of the time. "Network accuracy is an important [...] component of access for patients. [...] The more frustrated people become as they are trying to access care, the more likely they are to defer or forgo care, or to choose more expensive options such as emergency departments."