Friday, July 25, 2008  
 Notables
 
Do You Need a Referral?

Beginning January 1, 2006, Dean Health Plan (DHP) will no longer require you to obtain a referral to see a DHP network provider outside of your primary care clinic. This includes specialty providers who are part of the DHP network.

Some examples of other services that also do not require a referral when given by a DHP network provider are:

  • Magnetic resonance angiography (MRA)
  • Magnetic resonance imaging (MRI; please note that an MRI of the breast does require prior authorization)
  • Diagnostic tests and respiratory therapy
  • Routine vision care
  • Chiropractic care
  • OB/GYN services by an OB/GYN specialist
  • Behavioral health
  • Oral surgery for covered procedures
  • Physical, speech and occupational therapy (The therapist will request authorization for services on your behalf.)
  • Cardiac and pulmonary rehabilitation programs

Please note: This change does not affect DHP requirements to obtain a referral for out-of-network providers or prior authorization for selected services.

If you have questions, please call DHP Customer Service at 800-279-1301 or 608-828-1301.

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