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Primary Care Physician Referrals

Find out if your insurance plan requires a referral or authorization number before visiting our specialist office.

Do I Need a Referral or Authorization?

Depending on your insurance plan type, you may need either a written paper referral from your Primary Care Physician or an authorization number from your insurance carrier.

Paper Referral Required

Written script/referral from your Primary Care Physician

The following plans require a written referral or script from your PCP:

  • Cigna HMO
  • Healthease HMO Medicaid
  • Medicaid
  • Staywell HMO Medicaid
  • Staywell Healthy Kids
  • WellCare HMO Medicaid
This is a sampling only. Verify with your carrier if unsure.

Authorization Number Required

Authorization number from your insurance carrier

The following plans require an authorization number for a specialist visit:

  • Aetna HMO
  • AvMed HMO
  • BCBS HMO
  • Great-West HMO
  • Humana HMO
  • Multiplan HMO
  • United Healthcare HMO
This is a sampling only. Verify with your carrier if unsure.
HMO Plans

Most HMO policies require an authorization number.

POS Plans

Most POS plans do not require an authorization or referral.

PPO Plans

PPO plans generally do not require an authorization or referral.

Commercial / Indemnity

Generally do not require an authorization or referral.

Not Sure What Your Plan Requires?

If you do not see your carrier listed, contact your insurance carrier directly and verify plan requirements prior to your appointment. You can also call our office for help.

Have Questions About Your Referral?

Our staff is happy to help verify insurance requirements before your appointment.