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.