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By Ryan Kennelly

September 13, 2018

Topics:

  • Individual & Family Health Insurance
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I Have An HMO, Do I Need A Referral for an OB-GYN?

September 13, 2018

  • Individual & Family Health Insurance
I Have An HMO, Do I Need A Referral for an OB-GYN?

The Short Answer: No! You do not need a referral. You may have to go to an in-network provider, however. Specifics depend on your plan. You can also have an OB-GYN as your primary care physician (PCP).

You can get services from your designated PCP or another OB-GYN, but you’ll probably have to be in network for it to be covered.

Under the ACA, qualified plans are also required to cover at least 1 preventative OB-GYN per year (in-network) at no cost.

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