My insurance requires a referral in order to see an Alma provider in-network. Why?
Certain health insurance plans require a referral from a primary care physician (i.e., PCP) in order for care to be covered in-network. The most common situation where this happens is with Aetna student health plans. To receive off-campus mental health services through Alma that are covered by your insurance, the Student Health Center will need to submit a referral.
How can I request a referral?
To request a referral, you can contact your PCP or Student Health Center (if you have a student health plan). Tell your PCP or Student Health Center that you need a referral because you are seeking mental-health services that require a referral from a PCP, or that you will be seeking mental-health services off-campus and need a referral to receive in-network coverage for your care.
If you are not on a student health plan and also do not have a PCP, please contact your insurance carrier regarding referrals and they will help you to better understand your options for next steps.
How will I know if I need a referral to see an Alma provider?
It is important that you understand the details of your in-network benefits, including whether your plan requires a referral. If you aren’t sure about your coverage, we recommend reaching out to your insurance company directly. A support phone number or website is typically listed on the insurance ID card.
If our eligibility team reviews your insurance details and finds that your plan requires a referral, you will temporarily be marked as ineligible and you will receive an email asking that you contact your insurance carrier to request a referral.
Once your referral is confirmed by your PCP or your Student Health Center, please let our team know by emailing firstname.lastname@example.org.
Does my referral expire?
Health insurance plans have different requirements for referral renewal. Please call your insurance to learn more about your plan’s referral renewal requirements.
Do I need a referral for any other services under my plan?
If a referral is required for mental health services, you may need a referral for other services through your plan as well. Contact your insurance company for details about what other types of services require a referral.