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PCP referrals

When your PCP thinks you need to see a specialist, he or she will refer you to a specialist who can best help you with your health care needs. To see the specialist, your PCP may need to send a referral form to that specialist. Or your PCP may need to give you a prescription to see the specialist. Talk to your PCP about if you will need a referral form or a prescription.

There are some specialist services that you can get without seeing your PCP first. These specialists do not need a referral form or a prescription. Please see the self-referrals to see which specialists you can see without seeing your PCP first.

In some cases, members with a life threatening, degenerative, or disabling disease or condition, or members with other special needs may be able to have a "standing referral." A standing referral means you do not have to see your PCP each time you need to see a specialist. Call Member Services for more information.