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How to See a Specialist
How
to See a Specialist | Direct
Access to Obstetrical/Gynecological Care | How
to Obtain a Standing Referral
How to Have
a Referred Specialist Designated as Your Primary Care Physician | How
to Plan For Hospital Care
Continuity
of Care
Direct Access to Obstetrical/Gynecological Care
- You may seek care for your female child directly (without
a referral from the primary care physician) from a Keystone
participating obstetrician or gynecologist for preventive
care, routine obstetrical/gynecological care, covered
routine maternity care or problem-related obstetrical/gynecological
conditions.
- This does not include specialty care provided by a reproductive
endocrinologist, infertility specialist, or gynecological
oncologist. In order to have benefits for specialty services
related to reproductive endocrinology/infertility and
gynecological oncology, a referral from the primary care
physician is required. In addition, care provided by any
specialist other than a participating obstetrician or
gynecologist requires a referral from the primary care
physician.
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