Specialty Physician definition

Specialty Physician means a physician other than an Affiliated Physician/PCP who is licensed to practice medicine and who gives medical care to a Member on the referring order of an Affiliated Physician/PCP.

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Specialty Physician means a Participating Physician who is appropriately qualified in a certain medical specialty as determined by Plan who provides Covered Services to Subscribers within the range of such specialty, who elects to be designated as a Specialty Physician by Plan and who meets all other requirements for Specialty Physicians contained in Plan’s rules and regulations, including the Plan Provider Manual, and in the Agreement between Plan and the Specialty Physician.

Specialty Physician means a physician other than an Affiliated Physician who is licensed to practice medicine or osteopathy and who delivers medical or osteopathic care to a Member on the referring order of an Affiliated Physician.

Examples of Specialty Physician in a sentence

A PCP can help you determine when you need to visit a Specialty Physician and help you find one based on your PCP’s knowledge of you and your specific healthcare needs.
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.
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.
You must have a referral from your PCP in order to see a Specialty Physician.
A PCP can help you determine when you need to visit a Specialty Physician and also help you find one based on your PCP’s knowledge of you and your specific healthcare needs.
You must have a referral from your PCP before visiting a Specialty Physician, in order for services to be covered.
Under this Entrust Plan, you must have a referral from your PCP before visiting a Specialty Physician, in order for services to be covered.
Under this Engage Plan, you must have a referral from your PCP before visiting a Specialty Physician, in order for services to be covered.
Under this Engage Plan, you must have a referral from your PCP in order to see a Specialty Physician.

More Definitions of Specialty Physician

Specialty Physician means a Physician who provides Specialty Physician Services.