How do I get a Student Health referral to a out-of-network provider?
If you are insured by a carrier other than the LSUHSC student policy, contact your provider If you have elected to take the LSUHSC student policy, contact student health before your out-of-network provider visit. Referrals cannot be post-dated – That is insurance fraud. Have a rationale for selecting the non-preferred (out-of-network) provider. A PPO works to keep overall costs down, which makes your premiums lower. Going outside of the PPO network tends to increase costs, so the referral must indicate a rationale for the out-of-network visit. For example if you have an on-going relationship with an out-of-network psychiatrist, counselor, midwife, gynecologist, or urologist that would be sufficient rationale for the referral. If you wanted and MRI and Student Health had no information about why the MRI was needed, a referral for MRI would be more difficult to justify.
Related Questions
- What are my responsibilities if my Network provider refers me to an Out-Of-Network provider? Do I need to obtain a written referral?
- I see a medical provider for chronic ongoing health condition. Can I continue care at Student Health and Counseling?
- How can I be seen by a health care provider at the student Health Service Center?
