Most health plans will require a referral from a primary care specialist before seeing another specialist such as a cardiologist or neurologist. However, some plans do not require a referral. It is best to check with your health plan before seeing another specialist to see if a referral is required. If one is required and you do not have one, you could end up paying the entire bill.
Alex F Leon, MD
Specialty: Family Medicine
Location and Office HoursLeon Medical Center
3261 Old Washington
Waldorf, MD 20602
- CIGNA HealthCare
- CareFirst BlueChoice
- MDIPA/MAMSI (UnitedHealthcare)
- Optimum Choice/MAMSI (UnitedHealthcare)
- United Healthcare
- Civista Medical Center
- Southern Maryland Hospital Center
- Will I have to see a primary care provider for referrals to specialists?
How can I find out what hospital a doctor uses?
There are a number of ways to find out where and if a physician has an appointment to a hospital medical staff or, in other words, has admitting privileges at a hospital. Ask the hospital; ask the doctor; check various websites that offer information on doctors. Some doctors, particularly in smaller communities, may have medical staff privileges at more than one hospital.
What is a healthcare provider?
The term provider is generally applied to any person who provides healthcare: doctors, nurses, podiatrists, chiropractors, etc. However, many physicians do not appreciate being labeled providers.Helpful? 1 person found this helpful.
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