My hospital has changed its 403b plan with ING to a new 403b with Lincoln. Can I rollover the old 403b plan to a tradictional ira or to Lincoln without paying any taxes or fees?

Yes, and no. I should think that your existing balances with ING woud be transferred automatically to Lincoln. Check with your plan administrator to see whether that will happen, or will you have a legacy account with HSBC. As for rolling the account to an IRA - in general you cannot transfer an existing 403(b) to a rollover IRA as long as you are still employed at the job where the 403(b) is funded. Once you leave employment of the hospital this is something to consider.

Actually, if your Hospital allows an "in-service withdrawl" or "non-hardship withdrawls," you can move the existing money into another qualified retirement account (i.e. an IRA), as long as you do it within 60 days of pulling the money from the 403b. If your company allows this, you are able to do this once a year by law, even though the plan may require you to withhold 20%. Call your HR personnel, and they will be able to help you. Also, consult w/ a local Financial Professional as to the ups and down sides of your investment options.