Ensuring members are aware of when and how to get a referral for medical care can ultimately help them avoid unnecessary out-of-pocket costs. UnitedHealthcare Individual & Family Plans (IFP) members are required to get a referral from their primary care provider (PCP) for specialist care in most cases, and the specialist will need to be in-network in order for the visit to be covered. A referral is not needed for:

• Emergency care
• Gynecology
• Mental health care

Depending on the type of plan the member has, there may be additional types of specialist care that do not require a referral. To help members better understand how referrals work, you can share the video below

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To access more informative videos like the one above, visit the Sales and Marketing Materials page by going to Jarvis > Sales Tools > Sales and Marketing Materials.

Sales and marketing materials

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