Table of Contents
- 1 How do I get a Kaiser referral?
- 2 How do I get an outside referral from Kaiser Permanente?
- 3 Can you go to a Kaiser doctor without Kaiser insurance?
- 4 How long should a referral take?
- 5 Does Kaiser refer out of network?
- 6 Why would my doctor refer me to a specialist?
- 7 Can I get mental health care outside of Kaiser Permanente?
- 8 Do I need a referral to access mental health services?
How do I get a Kaiser referral?
How to schedule: In general, specialty care is by referral. To connect with the care you need, talk to your doctor or call us 24/7 at 1-833-574-2273 (TTY 711). For appointments that don’t need a referral, you can schedule online or use the Kaiser Permanente app.
Does Kaiser require referrals for specialists?
Kaiser Permanente members can make appointments directly with some specialists at Kaiser Permanente medical offices without a referral from their primary care provider, and you may need a referral for certain specialty appointments at Kaiser Permanente. Contact your provider or Member Services with any questions.
How do I get an outside referral from Kaiser Permanente?
Referral Coordinators may be reached by calling the telephone number that is provided on a member’s authorization documents. If you have not received an authorization document from us and are unsure about the appropriate Referral Coordinator, please contact the Outside Referral Services Department in your Service Area.
When should I see a specialist?
If you receive a life-changing diagnosis and need to hear multiple opinions to explore treatment options, a specialist might be able to help. Chronic and rare conditions may require specialty care. Or, if you’ve been struggling with a condition that is not getting better, it might be worth seeking out a specialist.
Can you go to a Kaiser doctor without Kaiser insurance?
The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. The program is one of the most generous in the health care industry and is available to those patients in greatest need.
How long does it take for a referral letter to arrive?
Out of hospital referrals This will usually be within 2 weeks but it can take longer. For urgent referrals, you’ll be contacted within 1 week.
How long should a referral take?
Most referrals take one week to process. In some cases, your PCP may ask for a “rush” referral, which will take three (3) days.
Does Kaiser refer out-of-network?
As an Added Choice or PPO Plus member, you have access to all that Kaiser Permanente offers, plus the option to seek care from providers outside of our network.
Does Kaiser refer out of network?
How do I get Kaiser to pay for out of network?
Visit kp.org/travel to download a claim form. For help with filing a claim for reimbursement, call the Away from Home Travel Line at 951-268-3900. for services and then submit a claim to Kaiser Permanente for reimbursement.
Why would my doctor refer me to a specialist?
Physicians may also use a specialist to mitigate their own liability that could occur with a missed diagnosis or allegation that they are not doing everything possible to treat the patient. This trend towards specialist referrals is likely to continue as medicine becomes more complex.
How are referrals processed at Kaiser Permanente?
The majority of Kaiser Permanente’s referrals are processed through the Kaiser Permanente Northwest Regional Referral Center. However, we have three areas within our region that process their own referrals.
Can I get mental health care outside of Kaiser Permanente?
Depending on where you live and the care you need, there’s a chance that you might get care outside of Kaiser Permanente. The demand for mental health care is higher than ever — so we work with outside providers who we trust to make sure members can access the support they need.
What services are available through Kaiser Permanente?
Most medical and diagnostic services are available within the Kaiser Permanente program or our network of preferred providers. Members are referred to the preferred provider network or community resources when medically necessary services are not available within the Kaiser Permanente program.
Do I need a referral to access mental health services?
And you don’t need a referral to access mental health services — just call us to get started. Everyone’s mental health and wellness journey is different. Getting to know you — and your personal preferences, background, beliefs, and lifestyle — will help us connect you to the right kind of care.