How do I obtain a referral for Specialty Care services not provided at Dunham, FIG or DDC?
Medical services not provided at Dunham, FIG or DDC such as: Cardiology, Neurology, Orthopedics or Maternity services require your physician to make a referral to a specialist in the community. Any new referral requests must first make an appointment at Dunham to be evaluated by your Primary Care Provider. If the Provider determines that you need specialty care, he or she will enter a consult order in your electronic health record. Once the order is placed, the request goes to the Health Benefits Advisor (HBA) who determines if the referral meets the Tricare benefits coverage criteria. If yes, the referral is forwarded to a Health Net Federal Services specialist to locate a network provider appropriate for the specialty care needed. A referral Authorization/Approval Letter is then mailed to you within 10 business days and provides the specialists contact information and authorization dates. You have 30 days to schedule an initial visit with the specialist. If you cannot obtain the init