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No you can't. Some specialists are referral only. They do this to satisfy medical necessity requirements to make sure they get paid by insurance.


I have had PPO high deductible health insurance for 14 years, and I have been able to see whatever doctor I want whenever I want.

Obviously, I need to pay out of pocket until I meet the deductible, but it all counts toward the annual out of pocket max and I get the negotiated pricing between doctor and insurance company. After I meet the deductible, however, the insurance still pays for a consult for anyone I want to go see. Not necessarily for any procedure though, without justification. But that applies in any situation, PPO or not.




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