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referral

What is a referral?

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Will all doctors accept my Medicare coverage?

Will all doctors accept my Medicare coverage?

Q: Will my doctors accept my Medicare card? A: Q: Will all doctors accept my Medicare coverage? A: The answer depends on what type of Medicare coverage you have, and whether you’re already a current patient.

primary care doctor

primary care doctor

Your primary care doctor is the physician you turn to first regarding any health care issue that may arise. If you need a specialist, you trust your primary care doctor to give you the best referral for that extra care.

What is a referral?

Some managed care plans require that you get a referral from your primary care doctor prior to receiving health care services from any other physician or provider. If you do not get that referral first, plans in many instances will not pay for your care.

HMO (health management organizations) and POS (point of service) health plans generally require a referral to see a specialist.

Most Medicare Advantage plans operate as managed care plans. If you have a PPO Medicare Advantage plan, you will not likely need a referral to see a doctor other than your primary care doctor. But if your Medicare Advantage plan is an HMO or a POS, you’ll likely need a referral.

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