I have been able to find equivalent plans in 3 states, usually BCBS ones that are the same as any self insured or employer group plan. Might not be as good as the employers with especially high portions of young, healthy, higher paid office workers, but for most people, it should be comparable.

> If you end up needing a hospital stay, you could be in trouble if the "wrong" doctors do a drive-by.

This is not true since the No Surprises Act went into effect Jan 1, 2022. Everything is considered in network in an emergency, and if a doctor works in an in network hospital, then the doctor is considered in network too.