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Medicare Advantage plans will not require specialist referrals in 2020

10/31/2019

We’ve made the following changes to our Medicare Advantage plans effective Jan. 1, 2020:

  • Passage Plan 1 (HMO) members will no longer need referrals for specialist care. We will still require members to have Passage PCPs, who coordinate their care.

  • Our dual special needs plan in 2020 will move from our Passage product suite to become Choice Dual (HMO D-SNP), with expanded options for primary care providers, increased allowances for over-the-counter (OTC) purchases, transportation benefits and routine eyewear. We’ve also added coverage for an annual physical exam (in addition to the annual wellness exam) and comprehensive dental coverage. D-SNP members will no longer need referrals for specialist care.