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.
Elizabeth A. Ruberg, DO
Specialty: Family Medicine
- family medicine
- family medicine
Location and Office HoursDr Elizabeth Ann Ruberg PC
1136 Thorn Run Rd Ste L
Coraopolis, PA 15108
- BlueCross BlueShield
- Coventry Health Care
- Coventry HealthAmerica
- First Health
- Great-West Healthcare Cigna
- Highmark BlueCross BlueShield
- UPMC Health Plan
- United Healthcare
- Heritage Valley Sewickley Hospital
- Will I have to see a primary care provider for referrals to specialists?
How do I find the specialized surgeon I need?
Mehmet Oz, MD, Cardiology, answeredUse your doctor's referral as a starting point. Your primary care physician may recommend a surgeon that he or she has chosen many times for this surgery. There's a good chance he or she knows the doctor or that they're buddies. "She's excellent," your doctor may affirm, and in fact, this physician may be an excellent surgeon.
But you can't just fly on that alone, especially if the surgery is a highly complex one. Your smart-patient detective job is to find out if this is the most excellent surgeon you can choose for this particular operation. Ask your doctor for a few names, and investigate each.
Also, aside from asking your regular doctor to point you to the maestro of this surgery, doing Internet research can help you locate a hyper-specialized surgeon. You just have to hope that one works at your hospital, or you might be planning a road trip.
A good way to find a highly specialized surgeon is to look in medical studies.
Find out more about this book:YOU: The Smart Patient: An Insider's Handbook for Getting the Best Treatment
Should I make an appointment to meet a new doctor?
Stuart Linder, MD, Plastic/reconstructive Surgery, answeredYou should certainly make an appointment to meet any new physician. Bring a friend or spouse with you on the consultation. Also, bring a list of questions and check list with you and seek 2 if not 3 consultations until you feel at ease with your final decision. In my book "The Beverly Hills Shape" I recommend that the patient seek at least 3 consultations before making final decision on a Plastic Suurgeon.
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