Using the plan > Referrals to a Hometown Health Plan Specialist

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A specialist receives additional training in his or her particular field, such as cardiology, urology, or obstetrics.

You need an approved referral from your Primary Care Physician before receiving any specialty care. The referral will indicate how many visits are approved, the time period within which you will need to make an appointment, and where the services will be performed. Hometown Health sends a copy of this referral to you and to the specialist. Some services require prior authorization from Hometown Health Plan, including but not limited to inpatient care and surgical procedures. Your physician will request authorization from Hometown Health Plan when required.

Any time you need to know the status of your referral, visit HealthConnect on this Web site (password needed), call your Primary Care Physician or Hometown Health Plan's Customer Services Department.