My PCP is contracted with Brown & Toland (B&T). What type of authorization do I need to see a specialist?
All members may self-refer to a B&T contracted ob/gyn for female-related services. A patient needs a VERBAL okay from their PCP to see a contracted podiatrist (DPM), or contracted ophthalmologist (MD). A Blue Cross Plus member may also self-refer to network ENT specialist, Dermatologist and Immunologist through the Direct Access Program. For most other types of medical specialists, a patient needs a WRITTEN referral from the assigned PCP. Q: If I receive a letter from my Primary Care Provider (PCP) stating that he/she will no longer accept my insurance because he/she no longer has a contract with the insurance plan (provider disruption) what are my options? A: Call your doctor or medical group and ask them if they have a contract with another UC HMO in your service area. If they do and you would like to stay with your current doctor and/or medical group ask them whether or not they will take you as a patient under the other HMO. Then apply for an HMO transfer under UC, by contacting UC
