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What are my responsibilities if my Network provider refers me to an Out-Of-Network provider? Do I need to obtain a written referral?

April 26, 2017Network obtain out-of-network Provider referral responsibilities written

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What are my responsibilities if my Network provider refers me to an Out-Of-Network provider? Do I need to obtain a written referral?

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A. This plan does not require referrals. If you see an Out-Of-Network provider, the Out-Of-Network provider benefits will apply. However, certain types of care need prior authorization or pre-certification from our Managed Care Division. Please refer to your Schedule of Benefits.