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Will I have to see a primary care provider for referrals to specialists?

Dr. John J. Connolly
Healthcare Insurance & Policy Specialist
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.
You will have to see a primary care provider for referrals to specialists if your insurance plan requires this. Many insurance plans require a primary care provider to refer a patient to a specialist, or the patient will have to pay more out of pocket. This helps reduce the cost of healthcare, and makes sure patients are sent to the correct specialists for their specific needs.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.