Tip 8
Tip 8: Know how to obtain a referral.
Your primary care physician has access to the skills and support of specialists and other health professionals who are part of our network. Should you need the care of these professionals, your primary care physician will arrange for that care.
A referral is a detailed record of the care your primary care physician orders on your behalf. It is very specific, stating the problem and number of visits or treatments. You must have an authorization before seeing any specialist (other than a gynecologist for routine care), even if you already had seen that specialist before joining BlueChoice HealthPlan.
Note: If you have our BlueChoice Advantage Plus coverage or if you have our BlueChoice Point of Service plan and wish to use non-network physicians, you do not need a referral from a primary care physician before seeking medical care. Please note that under our BlueChoice Point of Service program, visits to a network participating specialist without referral from a primary care physician is covered at the lower, out-of-network benefit level.