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Q: Do we need a referral to see a specialist for HMO?
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How does an HMO health insuance plan work?

"An HMO health insurance plan requires you to choose a primary care provider from doctors within your network. You will see this doctor for typical health issues. If you need to see a specialist of any kind, you must receive a referral from your primary care doctor to be covered by insurance."


Does medicare person need referral to see a dermatologist?

No they do not. You may go to a dermatoligist anytime without a referral. As a dermatologist, I see people many a time without referral, and all dermatologists can bulk bill payment, and send them to medicare.


Where can I find the names of liposuction doctors in the Bedford, New York area?

You can ask you family doctor for a referral. Legally you will need a referral from your family doctor before the specialist will see you.


Do you need a referral to go to a thyroid specialist?

In order to see an endocrinologist, who specializes in thyroid conditions, you might need a referral. A lot depends upon whether you're newly diagnosed with a thyroid condition and/or your insurance provider.


How do I know if I have an internal allergy?

Your first step would be to go to a local doctor. They can run some test for you. If it is determined that you need to see an allergy specialist, you should be able to easily get a referral.


If you are pregnant can you have regular medical to see a certain OB Doctor even though your medical is set just to a certain doctor?

Are you in an HMO? When you said "certain doctor" do you mean your Primary Care Physician or a certain OB doctor? Is there only ONE OB doctor on your plan? There are usually several in a medical group - IPA. If you are talking about having a Primary Care MD and then you want to see an OB Specialist in CA without getting a referral, that is your right in an HMO under the law in CA.


What type of doctor do you see for pain in the kidney area?

Start with your primary care provider, who can do initial screening and referral to determine the most practical specialist and to get some of the initial testing done before you see the specialist.


What is the difference between referral and authorization?

A referral is a recommendation from a primary care provider to see a specialist or receive specific services. An authorization is approval from an insurance company for medical services or procedures to be covered. In short, a referral directs you to a specific provider, while an authorization confirms payment coverage.


I need to know if I can see a surgeon about my neck & back, without a doctor referal?

That depends on your insurance if you have an HMO you'll need a referal without and HMO and you have regular insurance you should be ok. Though some surgeons require it even with out an HMO you need to check with specific surgeons.


What kind of doctor should I see if I need treatment for vertigo?

If you are close to a rural area, then contact a neurologist ( ear , nose and throat specialist) and make an appoitment. If you need a referral or are not close to a neurologist, contact your primary care physician.


What type of doctor is for ringing in ears?

You will probably have to see a general practicioner first to get a referral to an ear, nose and throat specialist.


What kind of doctor should i see reguarding mass on rib cage?

Just go to a general practitioner, and they will be able to give you a referral to the correct specialist.