In a Health Maintenance Organization (HMO) insurance plan, you are typically required to select a primary care physician (PCP) who will be your first point of contact for all of your healthcare needs. If you have an HMO plan and would like to be seen by us, your PCP will most likely need to provide a referral and/or authorization for the service in order for it to be covered by your insurance.​ For more information, please call your insurance company to see if we are in network with your plan.

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The process for obtaining prior authorization can vary depending on your insurance plan and the specific treatment or service you need. In general, your PCP will need to submit a request for prior authorization to your insurance company, along with any necessary medical documentation or test results. The insurance company will then review the request and make a determination on whether to approve or deny the service.

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It's important to note that prior authorization is not a guarantee of coverage. Even if your PCP obtains prior authorization for a particular treatment or service, your insurance company may still deny coverage if they determine that the service was not medically necessary or appropriate.

 

If you have any questions about prior authorization or the approval process with your HMO insurance plan, it's best to contact your insurance company or PCP for more information.