My insurance company is closed for the evening, but I'm just wondering if anyone on here knows. Do I need a referral for an OB/GYN? It sounds strange to me, but what do I know! We changed insurance options this year and we haven't had to use them too much yet.
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It most likely depends on your insurance coverage. Do they have a website? You could check your insurance coverage on there. I have United and I do not need a referral to see any doctor.
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I know I need referrals for specialist. So, I guess is an OB./GYN a specialist?
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Hmmm.....I would think an OBGYN would be considered a specialist but I'm not 100% certain.
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I have a PPO insurance plan, and did not need a referral for my in-network OB/Gyn. I started seeing a new one upon finding out I was pregnant, as the one I had been seeing for years unfortunately went on leave for cancer treatment. I had no issues with the switch/new doc.
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I wouldn't think an OBGYN would be considered a specialist.
I've had about five different insurance companies over the last ten years and never needed a referral... I think it's because stuff like your annual exam is typically always covered by your insurance and its not like your GP can do that for you. -
I don't believe you'll need a referral for an OB. They're not considered a true "specialist" because an OB/GYN is seen as a provider of primary care for women.
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I don't know exactly what kind of plan you have, but I am pretty sure an OBGYN isn't considered a specialist. I have different copays for primary care and specialists, and my copay for my GYN is the same as for my GP because it's not a specialist.
Does the provider have a website you can look at? Or sometimes there's info right on the back of the card...
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If you have an HMO plan and need referrals for specialists then yes you do. I did too. It's likely that your PCP will do a urine test and then refer you to an obgyn which you may have some say in. We also had only a few hospitals to choose from. But it was 100% covered so it was still good!
The other thing I didn't know was that you can't change PCPs in my plan during pregnancy (don't know about your plan.) and I could only change OBs once if I wanted.
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I've always had HMOs and never needed a referral for an OB/GYN...@marionberry explained it best.
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I've had both HMOs and PPOs. An OB/GYN has been the only "specialist" I've never needed a referral for. Some women only see an OB/GYN so I'd think you wouldn't need a referral.
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It depends on your insurance. I need one for all specialists besides an OB. I've had several insurance companies in the past few years and they were all different regarding policies.
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Hm sounds like most don't but I definitely did so you should just check your insurance plan!!
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I don't think an ob/gyn is a specialist. I have never had to have a referral and have had several different insurance companies
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13 comments