What is a referral and why do I need one?

Thursday, March 19, 2015

Referrals can be one of the most important parts of an insurance plan. This is because healthcare providers are able to ensure that a patient is receiving the right care for their health needs. With a referral plan, your primary care physician can monitor and track the appointments you make out of the primary care office.

At Arizona Priority Care, we work with a number of providers who not only offer the best care but they also work with a number of insurance plans. We have developed an extensive specialty care network to support the requirements of our patients. Patients and providers can access our website to see which out-of-network and in-network providers they can use to seek additional treatment.

Coordinated care is successful through a multi-disciplinary approach to healthcare. Your PCP will refer you to a specialist for supplementary services that he/she is unable to provide. Consider these tips if you ever need to refer to a specialist for healthcare services:

Always check with your PCP before seeking outside care
If one specialist is unable to assist your healthcare needs, you may be referred to another specialist. By communicating with your PCP, you will be able to coordinate your needs with healthcare providers that your PCP recommends. Always check with your PCP before seeing any specialist.

Work with your PCP's Referral Team
Your doctor's referral team may include designated specialists, hospitals, nursing facilities, medical equipment providers, and other selected providers. Your PCP's referral team will include specialists and facilities your PCP has selected to work with in his/her area.

The value of the referral process

1. Your PCP can oversee your care and collaborate with a team of specialists to help you get the best care designed for you.
2. Your PCP is familiar with your medical history and will be able to better coordinate all features of your treatment.
3. Your PCP will refer you to a specialist that will be able to meet your needs.