To be able to get access to the type of help you need there are some stipulations that you must fulfill with most insurance companies. If you require care that is beyond typical services you will have to get a referral in many instances and this can be a pain. Aetna’s HMO Medigap plan does not require referrals for some direct-access services and these services are listed below:
• Emergency and urgent care does not require a referral as this could possibly affect the ability to get you the urgent care you need in case of an emergency.
• Routine eye exams don’t require a referral as it is important that you get these exams without delay in order to keep you seeing with the ability you need.
• Flu and pneumonia shots do not require referrals as everyone wants you to get these without hesitation for the better good of all.
• Annual mammograms will not require a referral so that you can get the annual checkup that is required without concern.
• Annual ob/gyn services are the same as these are preventative and shouldn’t need the help of a doctor’s referral.
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