As part of our commitment to making our health plans easier to use, we’ve introduced “open access.” Open access keeps things simple by giving you direct access to in-network physician specialists without a referral from your primary care physician (PCP).
Although you must still select a PCP, you may visit any physician specialist in our extensive HMO Colorado provider network
simply by scheduling an appointment directly with that specialist. Point-of-Service (POS) members are not required to obtain a referral when visiting an out-of-network physician specialist but will pay a greater share of the cost for this type of visit.
Although in-network physician specialist visits do not require a referral for HMO or POS members, preauthorization requirements remain the same. Preauthorization
is required for:
We encourage you to continue consulting your PCP for coordination of your health care and for referral recommendations. As your personal doctor, your PCP helps ensure quality and consistency in your overall health care.