4 ms·
No you can't. Some specialists are referral only. They do this to satisfy medical necessity requirements to make sure they get paid by insurance.
by pishpash 4y ago
No you can't. Some specialists are referral only. They do this to satisfy medical necessity requirements to make sure they get paid by insurance.
- lotsofpulp 4y agoI have had PPO high deductible health insurance for 14 years, and I have been able to see whatever doctor I want whenever I want. Obviously, I need to pay out of pocket until I meet the deductible, but it all counts toward the annual out of pocket max and I get the negotiated pricing between doctor and insurance company. After I meet the deductible, however, the insurance still pays for a consult for anyone I want to go see. Not necessarily for any procedure though, without justification. But that applies in any situation, PPO or not.