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How to receive other health services: Using Health Partners’ Participating Providers for Your Healthcare Needs

As a Health Partners member, you must use our participating providers, hospitals and pharmacies for all your health care in most situtatuons (except if you are out of the area, need emergency care or family planning services). These participating providers include PCPs and specialists and are part of the Health Partners network. We have carefully screened these providers, specialists, hospitals and pharmacies to make sure they work together to give you the healthcare services you need.

For most services, you must call your PCP first to get a prescription or referral for the service. Your PCP will watch over all of your health care. He or she will refer you to a participating specialist or hospital if needed.

Remember, you can call your PCP at any time to follow up after a visit or hospital stay.

Your PCP is there to make sure you get the medical care you need. He or she will always be your number one supporter in getting proper treatment and staying healthy.

You can get some services without a prescription or referral from your PCP. These include:

  • Chiropractic services
  • Dental exams (if these are included in your benefit package)
  • Emergency situations (you may want to call your PCP if you are unsure if it is an emergency)
  • Family planning
  • Mammograms
  • OB/GYN services
  • Vision exams (if these are included in your benefit package)

Keep in mind that you must use Health Partners participating providers, specialists, hospitals and pharmacies for these services (except for emergency care or family planning services). If you don’t, your services may not be covered by Health Partners, and you may have to pay for the services.