Getting a referral when you need one will ensure you receive your highest level of benefits. Here's what you need to know about referrals:
- When you see a specialist within your care system, you don't need a referral.
- If you need to see a doctor who's in the Medica Elect network but isn't in your care system, you'll need a referral from your primary care clinic.
- If you need to see a provider outside the Medica Elect network, you'll need a referral from your primary care clinic and pre-approval (called "prior authorization") from Medica.
Learn more in the referrals tip sheet »