We’re reducing the number of specialists requiring referrals for Medicare Advantage Passage Plan 1 (HMO) for 2019. As of Jan. 1, 2019, only podiatry, chiropractic and pain management specialist treatment will require referrals for members with Medicare Advantage Passage Plan 1 (HMO).
Members’ new ID cards will reflect the referral requirements. This information is also in the Annual Notices of Change (ANOCs) mailed to members in September. Passage Plan 1 (HMO) will continue to have a $0 premium and other benefits – a dental plan and hearing aid and vision wear reimbursements – that our members value.
Referral requirements to most specialists (with some exceptions) will remain for:
- Commercial Passage plans sold to individuals under 65 and offered by employers, and
- The ConnectiCare Medicare Advantage Passage Dual (HMO SNP) plan
More information on the latter plan, which serves dual-eligible members, will follow later this year. It will include training on our model of care and referral instructions.
Referral guidelines on our website, connecticare.com/providers, will be updated for 2019 in the coming months. Watch for more information and updates in future editions of Office Visit.
