Insurance and Referral Policy

Your insurance carrier may require you to obtain a referral before seeing a specialist. If you do need to obtain a referral, it is your responsibility to call your physician to obtain the appropriate insurance referral. For HMO plans this is usually done online by your doctor’s office. The specialist’s name and office number given to you to call does not usually constitute an appropriate referral.

Note: Failure to obtain a referral will leave you at risk for payment of all charges associated with any appointment you schedule, and then attend, that is not properly documented with your insurance carrier.

It is also a good idea to make sure that we are listed as the contracted providers with your plan. We accept most plans, however there are a few exceptions. Two notable exceptions are MediCal and Covered California Pathway Tier. Please inquire when making your appointment for details about the importance of referrals and how to properly obtain and document referrals.