Obtaining referrals for providers outside HMO networks

Last Modified: November 1, 2001

Question:

Answer:

We suggest you contact the psychologist in question to determine if they has any interest in attempting to negotiate a special rate for providing counseling services. You should simultaneously contact your employer's benefits office for assistance. There's no guarantee that the HMO will agree to such an arrangement. However, in some instances, they will make special arrangements for an individual patient. Finally, we suggest you also directly contact the HMO's Medical Director to discuss the situation.

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