Occasionally, when your illness is beyond our scope, we will recommend that a specialist be consulted. In these circumstances we will make arrangements for you to see one of the specialists who we has the additional expertise needed. Should you have a specific preference in referral specialists, we will try to accommodate you whenever possible. We have no control over insurance coverage, and cannot force the insurance company to pay for a non-covered, or out of plan, physician. If there is a disagreement concerning the referral process, please contact our office manager or our patient advocate, and we will make every attempt to resolve the problem.
Most plans have specific hospital and emergency room preferences.
These are listed in the provider manuals given to you by the company. Emergency room visits are covered when you have an urgent medical problem that cannot wait until the office is open. If the problem is acute enough for you to call 911, the paramedics will take you to the nearest hospital and the ER visit will be covered by your plan. We highly discourage patients from using the emergency room for minor illnesses and injuries. Not only will your wait time be excessive, but our office will have difficulty managing your follow-up care.