Those services include, but are not limited to: For most Blue Care Network plans, you’ll need to check with your doctor before you see any doctor or health care professional from outside your network.
Without a referral from your primary care physician, you’ll have to pay for all the costs of out-of-network treatment unless it’s approved by Blue Care Network or it’s an emergency.
If your plan requires a referral and you don’t get one first, your insurance won’t cover the cost to see the specialist.
For example, if you get a skin rash, you shouldn’t go straight to a dermatologist.
Worst case, you can get the short term and simultaneously enroll in the ACA plans during open enrollment or due to a Special enrollment trigger.
The ACA plans (Covered Ca or off-exchange) have special rules for effective dates.
You can contact them here: These people generally mean they want "catastrophic health insurance".
You don’t need a referral for behavioral health services either.Look at the table above and see if your income estimate is below the minimum range.If so, you may be able to get Medi-cal back to the 1st of the month.Your primary care physician will let you know when your referral is approved, or Blue Care Network will send you a letter in the mail.Once you get your referral, your specialist can order any medically necessary treatment for you until the referral expires.