Specialty Physicians. You are entitled to see participating Specialty Physicians under this Empower Plan without the requirement of a referral from your PCP.
Specialty Physicians. You are entitled to see participating Specialty Physicians. You must have a referral from your PCP in order to see a Specialty Physician. This means that you must get approval in advance from your PCP before visiting a Specialty Physician in order for services to be covered. Referrals will be processed electronically as Physician-to-Physician transactions, meaning that your PCP will create and send the referral directly to the Specialty Physician electronically. Except as provided for chiropractors, dermatologists, OB/GYNs and podiatrists, if you receive Specialty Physician services without the proper referral from your PCP the services will not be covered by us, and you will be solely responsible for the cost of such services.
Specialty Physicians. You are entitled to see Specialty Physicians without the requirement of a referral from your PCP.
Specialty Physicians. You are entitled to see participating Specialty Physicians. Under this Engage Plan, Members may need a PCP referral to see a Specialty Physician. This means you will need to get approval in advance from your PCP to see certain Specialty Physicians and to receive certain services. Referrals will be processed electronically as Physician-to-Physician transactions, meaning that your PCP will create and send the referral to the Specialty Physician electronically. This process allows PCPs to establish referrals in a manner that is faster, easier and more convenient for all.
Specialty Physicians. You are entitled to see in-network Specialty Physicians under this Agility Plan without the requirement of a referral from your PCP.
Specialty Physicians. You are entitled to see participating Specialty Physicians under this Flex Plan without the requirement of a referral from your PCP.
Specialty Physicians. You are entitled to see participating Specialty Physicians. A referral from your PCP may be required for certain types of Specialty Physicians, and Prior Authorization may be required from AvMed for certain services.
