← Return to My PCP won't refer me for specialist or authorize MRI

Discussion

My PCP won't refer me for specialist or authorize MRI

Spine Health | Last Active: Apr 19 9:33pm | Replies (35)
Comment receiving replies
@denman55

Then again, you must be on Medicare ADVANTAGE and not Regular Medicare.
I have never once had a referral to go to a specialist and Medicare has paid every claim that was submitted by those specialists.

Jump to this post

Replies to "Then again, you must be on Medicare ADVANTAGE and not Regular Medicare. I have never once..."
babs10 | @babs10 | Mar 26 9:00am

I'm on the traditional medicare plan, not an advantage plan. I am not able to make an appointment with a specialist without a referral from my PCP. Once I have the referral, all claims are paid., and it's not required for all specialists - but I did have to get a referral for an endocrinologist and for a rheumatologist. I was caught off guard, but did as I was told since I needed to see these MDs. The specialists wouldn't even talk to me, muchless make an appointment with me before I had the referral. I wonder if it varies by state?

VIEW AND REPLY