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.
James Roth, MD
Specialty: Family Medicine
- family medicine
- pain medicine
Location and Office HoursLincoln Tree Clinic
Manchester, TN 37355
- AmeriChoice by UnitedHealthCare
- BC/BS of Tennessee
- BlueCare/Volunteer State Health Plan/TN Healthcare Network
- CIGNA HealthCare
- Cariten Health Plan
- Great-West Healthcare CIGNA
- TLC Familycare
- TRICARE South/Humana Military Healthcare
- United Healthcare
- Murray Medical Center
- Stones River Hospital
- United Regional Medical Center
- Will I have to see a primary care provider for referrals to specialists?
How can I get a list of doctors in my insurer's network?
Insurers will typically have an online directory of providers, both individuals (doctors, podiatrists, etc.) and organizations (hospitals, rehab centers, imaging centers). Some may also have print directories of providers.
What kind of training do general practitioners have?
General Practitioners are trained in Primary Care Medicine. They are usually Family Practitioners and Internists. They are trained to diagnose, treat and prevent illness in adults.
See all Healthcare Basics questions