Referrals or Authorizations
One of the primary goals of managed care is to contain
cost by eliminating inappropriate use of the medical system.
To do this, many insurance companies utilize a "gatekeeper
system", which requires that evaluation of a medical
problem originate with the designated PCP or primary care
physician. Managed care limits an authorization for specialists
care either by time, or number of visits and that is why
it is so important for you to become educated about your
health insurance. Your insurance company also has
entered into contracts with certain diagnostic centers
for services. This may limit your options as to what lab
or imaging center you can use. It might be best to call
your insurance carrier (number on the back of your card)
to verify whether you need a referral to see our physicians.
It is very important that you know who participates with
your plan.
At your first visit we will ask you for your referral
if needed for your insurance company. If you return and
your visits extend past their original limits, you will
need to contact your PCP or insurance company to request
an extension before being seen. Most insurance companies
require at least 24 hours to get you your approval. If
you are a member of such a plan, we will be able to see
you only with the required referral information or have
you prepay for services.
Questions Regarding
Fees
We welcome inquiries regarding surgery or other medical
care and encourage such inquiries before the care has
been rendered. This question can be made directly to the
billing department on our Contact Form.
Insurance
Cards
Please be prepared to show your insurance or other medical
assistance card every time you are seen. We will verify
your insurance number and keep a copy of the card on file.
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