Common use of Specialty Physicians Clause in Contracts

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 participating in-network 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 participating Specialty Physicians. You Under this Engage Plan, 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 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-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 participating Specialty Physicians. You Under this AvMed Engage Plan, 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 participating Specialty Physicians. You Under this Focus Plan, 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.