Specialist Care

Your Primary Care Physician (PCP) may send you to a specialist for special care or treatment.  Your PCP will work with you to choose the specialist to give you the care you need. 

Your PCP’s office can help you make the appointment.  Your PCP must send an approval to the specialist before he or she can give you care.  Tell your PCP and the specialist as much as you can about your health, so that all of you can decide what is best.

Call Member Services at 1-855-412-8001; the TTY number is 711 or 1-800-982-8771 to let us know about seeing the same specialist each time without an approval first.  Our Utilization Management nurses may approve a number of visits with the same specialist without your PCP setting up each visit.  We will try to find you a specialist with an office no more than 30 minutes from your home.