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

Spine Health | Last Active: Apr 19 9:33pm | Replies (35)
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@babs10

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?

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Replies to "I'm on the traditional medicare plan, not an advantage plan. I am not able to make..."
lizziel1 | @lizziel1 | Mar 27 9:56am

Came here to say this… Many specialists require a referral from your GP.

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mslw | @mslw | Apr 1 6:12am

I, too, have (original) Medicare, but recently required a “physician’s referral” in order to see a pulmonologist.
I was told it had nothing to do with insurance.
Apparently, some ‘specialists’ doesn’t want self-referring patients.

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