Quote:
Originally posted by goBigtime
Incorrect.
This is how it is supposed to work, but every place you call will ask for a referral from your primary doctor -- even when you explain you have PPO insurance and one is not needed.
At that point, half the places will say "Sorry, its our policy.. you need a referral."
Keep in mind these are specialists who are specifically approved by the PPO.
If you kick and scream enough about the fact that you pay higher premiums and use a PPO plan specifically to be able to go directly to a specialist, then maybe 25% of the time they will probably back down and give you an appointment.
But at that point, why would you want an appointment from them? They aren't doing their job or following the rules from the begining.
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Interesting. I've had BCBS PPO for my son and myself for over 7 years. I've never ONCE had to get a referral and between the two of us over this time, we've probably seen 10+ different specialists.
