Primary care referrals mean you’re not alone
Primary care providers (PCP) help you make important decisions, and they can help manage your care with your entire healthcare team. If you have chosen one of our BlueCHiP plans through your employer, your PCP will coordinate referrals as needed when you see a specialist, have a test, and receive some other services.
Some covered services do not require a referral, including*:
- Mental health and substance use services
- Emergency and urgent care services
- Eye exam (routine)
- Hearing exam (routine)
- Retail health clinics
- Telehealth (Doctors Online)
- OB/Gyn
- Chiropractic care
Other services will require a referral, such as*:
BlueCHiP Flex, Network Blue New England, Network Blue New England Options, Blue Choice New England
- Allergy office visit
- Dermatology office visit
- Podiatry office visit
- Specialist office visit
*These lists provide examples only and are not complete. For more important information regarding referrals, view your plan’s subscriber agreement. You can request a subscriber agreement by calling the Customer Service number on the back of your member ID card or by using the online chat in BlueCare Connect.
Use Find Care to search for a PCP.
If you still have questions, call Customer Service at the number on the back of your card or (401) 459-5000 or 1-800-639-2227 (outside RI).
