Referrals & Prior Authorizations

There may be times when you need access to Specialty Care. Some examples of Specialty Care include obstetricians (child-birth doctors), orthopedic surgeons (bone doctors), and gastroenterologists (stomach and intestine doctors).

Depending on your plan, you may need a *Referral or Prior Authorization to receive Specialty Care.

Look here for information on Referrals and Prior Authorization:

Prior Authorizations for Specialty Care

Referrals for Specialty Care

Sensitive Diagnosis List

Please Note:

*Changes to Referral Notifications

In order to improve the quality and readability of referral and authorization notifications being sent to TRICARE West Region beneficiaries and providers, beginning this week, UnitedHealthcare Military & Veterans will utilize service code ranges rather than individual service codes. 

What will I see on referral and authorization notifications sent to me in the future?

When a referral or authorization for a consecutive range of service codes has been approved, the letter you receive will now show just the range and a brief description of the first code within the range. This change simplifies the notifications currently being sent, making them easier to read.