Specialist care

Start with the exact specialty need

Specialties often include subspecialties. A correct match can reduce delays, so customers should know the reason for referral, the body system or condition involved, and whether a particular procedure or expertise is needed.

Before scheduling

• Confirm whether a referral is required
• Confirm whether prior authorization is required
• Verify the individual specialist and facility network status
• Ask whether records, images, pathology, or test results are needed before the appointment
• Compare wait time, distance, accessibility, and languages
• Ask whether facility fees or separate diagnostic charges may apply

Questions for a new specialist office

• Does the clinician routinely evaluate my reason for referral?
• What records must arrive before the appointment?
• Will tests likely occur at the first visit or be scheduled separately?
• Are telehealth follow-ups available when appropriate?
• Who should I contact if symptoms change before the appointment?