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Referrals to Specialists Authorization from Utilization Management is not required if referring a member to an in-network specialist for consultation or a nonsurgical course of treatment. Authorization from Utilization Management is required when referring to an out-of-network specialist.
You dont need a primary care physician (PCP) to coordinate your care. You dont need a referral to see a specialist. You can get care from in-network or out-of-network providers.
No, you do not need a referral to see a specialist.
Our fee-for-service Plan offers services through a PPO. This means that certain hospitals and other healthcare providers are Preferred providers. When you use our PPO (Preferred) providers, you will receive covered services at a reduced cost.
Federal Employees Retirees. FEP is committed to providing federal employees, retirees and their families with some of the best health care benefits possible.
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Depending on the type of care you require, you may need pre-approval (in the form of a prior authorization, precertification or both). We review the service or treatment to ensure it is medically necessary. If you do not obtain pre-approval, there may be a reduction or denial of your benefit.

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