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UltimateZo OP t1_iu35746 wrote

I promise you my PPO plan requires NOTHING from me to schedule with anyone anywhere in the country. If you call the scheduling office for any of the specialty departments they will ask for your referral. Or they will ask for your medical ID and lookup if you have a referral in the system to their department. They will REFUSE to schedule without that referral, regardless of insurance.

This was the case for both Neurology and Endocrinology. Maybe my blanket statement of “specialist” is too broad, but I assume Many many more specialty areas require the same.

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sneakinsnake t1_iu35o7e wrote

Sure, so then the specialist(s) you called require a referral to been seen sooner or at all. In that case, go see any PCP.

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Particular_Ad_7831 t1_iu3kkfg wrote

Your PPO probably requires a prescription for a specialist, not a referral. An insurance referral is for HMO plans. PPOs can require an order.

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