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Referrals


 

  Depending on your insurance, please note some providers may require a referral. Please see below for additional information about referral requirements.

Referral Not Required: 

  • Caresource
  • Medicaid
  • Medicare
  • Medigold
  • Multiplan
  • Paramount Health

Referral may be required: 

If your ID card states, "Referrals Required," you'll need an electronic referral from your primary care provider (PCP) before seeking services from another network provider. A referral is when a PCP authorizes a covered person to see a specialist for diagnosis or treatment of a medical condition. Most often, that means you have to contact your PCP before seeing a specialist. Not all health plans require a referral, but if your plan does, ask your PCP or clinic for an electronic referral before you visit a specialist. Without this referral, you may pay more or your care may not be covered.

  • Ambetter/Buckeye: Referral required
  • Anthem BCBS: Referral required
  • Choicecare: Check with your coverage provider
  • Cigna: Check your coverage plan here
  • United Healthcare: Check your coverage plan here > Coverage & Benefits or call the number on your health plan ID card to find out.
  • Humana: Most plans require a referral
  • Humana Military: Referral required
  • Med Mutual: Check your plan coverage here
  • Molina: Referral required
  • Pacific Health Alliance: Referral required
  • RR Medicare: Check with your coverage provider
  • Tricare: Referral required

 

*Disclaimer: This information may not be entirely up to date. Please check your provider's website for more information or please feel free to contact our office.

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