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You%u2019re required to have a PCP to manage your care. If you need to see a specialist, your PCP can refer you to one. Don%u2019t worry. The process is easier than you think!Every PCP may handle referrals differently. Ask your PCP these questions to learn about their referrals process. Questions to ask your PCP about referrals%u2022 Can I ask for a specialist I found or does your office need to recommend a specialist?%u2022 Do I need to visit with you before you give a referral? If so, can it be done virtually, or only in-person?%u2022 Can I request a referral over the phone?%u2022 Do you have an online patient portal? If so, can I use it to request a referral?%u2022 Can you refer me to more than one specialist at a time?%u2022 How many days do I typically need to wait between a request and a referral?%u2022 Do you require a follow-up appointment after I see a specialist? %u2022 How long does my referral last?You may not need a referral for certain medical care. Here%u2019s what you should know about referrals:%u2022 You don%u2019t need a referral for:%u2022 emergency care%u2022 OB/GYN care%u2022 in-network mental health specialists%u2022 dermatologist visits%u2022 eye exams (both routine and diagnostic)%u2022 physical therapist visits%u2022 You don%u2019t have to ask your PCP for a referral every time you visit a specialist. The specialist decides how many visits you have in the referral period.%u2022 A specialist can%u2019t recommend you to another specialist; only your PCP can.%u2022 Changing your PCP during a treatment period with a specialist may change your existing authorization. If you have questions about the referral process, call a PHG at 1-866-355-5999 or chat through the BCBSTX App. Getting a Referral is Easywww.bcbstx.com/trsactivecare 17

