Primary care referrals mean you’re not alone
Your primary care provider (PCP) helps you make important decisions and can coordinate your care with your entire healthcare team. As a Medicare Advantage member, your PCP will coordinate referrals when you see a specialist, have a test, and receive some other services. Members who have the Healthmate for Medicare (PPO) plan do not need referrals.
Some covered services do not require a referral, including*:
- Mental health and substance use services
- Emergency and urgent care services
- Retail health clinics
Other services will require a referral, such as*:
- Allergy office visit
- Chiropractic office visit
- Dermatology office visit
- Occupational therapy
- Physical therapy
- Podiatry office visit
- Specialist office visit
- Speech therapy
*This is not a complete list. For more important information regarding referrals, see your plan’s evidence of coverage. You can find it on our Plan Materials page.