Seeing a Specialist
My doctor told me about two hand specialists. I chose the one who was most convenient.
— Lillian
Your primary care doctor may refer you to a specialist if you need a diagnosis, advice, or a treatment that requires special training.
Topics on this page
How to see a specialist
Your primary care doctor must refer you to the specialist. The specialist must be in your health plan’s network, and is usually in your medical group. Sometimes, your medical group or health plan must approve the referral.
Finding a specialist
- Ask your doctor for recommendations.
- Ask your health plan for a provider directory or look on the plan’s website.
- If you need a treatment or procedure that is risky, look for a specialist who has done it many times.
- The American Board of Medical Specialties has information on more than 100 different kinds of specialists.
Problems getting specialist care
You may have a problem getting a referral approved. And, even if you have a referral, you can have a hard time getting an appointment.
- Ask your doctor to help you get the referral approved, or get the appointment scheduled.
- Ask your plan to approve a referral to a specialist outside the network. Your doctor will have to explain why you need to go outside the network.
- You can file a complaint with your plan if you cannot get the appointment you need.
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