Does Anthem Blue Cross cover visits for specialty care?
A18. Yes, however, services must be authorized by the member’s own primary care physician (PCP) or Participating Medical Groups/Independent Physician Associations (PMG/IPA) in order for benefits to be payable. The referral authorization process varies by medical group. Many PMG/IPAs have internal policies that allow their physicians to refer directly to specialists without going through a formal referral approval process. Other medical groups allow their members to self-refer to specialists within the group.
