Monday, September 16, 2019

9/16/19: Phone Calls (Insurance Referral)

Ah, insurance.

Glad I have it, but it's still a headache trying to figure it out.

When making my physical therapy appointment, my physical therapist double-checked with a managed care coordinator, who said I was "all set" with a doctor's order, and I don't need a referral. I was wary, because the front desk at the Breast Center also told me the same when I made my appointment for the breast surgeon, but then it turned out I did need a PCP referral. 

I called my insurance, and they confirmed I do not need a referral for physical therapy. I do need a doctor's order, and the physical therapist needs to be in-network. The insurance representative agreed that I do normally need a referral for specialists (except OB/GYN), but a physical therapist is like a separate category or something. I don't know. 

Just glad to have things clarified so I can move forward with appointments.

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