108 Medicare Terms Defined

Medicare Glossary

Plain-English definitions for every Medicare term — from ABN to ZIP enrollment. No jargon, no confusion.

Showing 2 results for "Referral"clear search

P

Primary Care Provider (PCP)

Providers & Plans

The main doctor who manages your overall health care and refers you to specialists when needed. Some Medicare Advantage HMO plans require you to choose a PCP and get referrals from them before seeing a specialist.

Also known as: PCP, Primary care doctor

R

Referral

Providers & Plans

A written order from your primary care provider authorizing you to see a specialist or get certain health care services. HMO-type Medicare Advantage plans typically require referrals; PPOs and Original Medicare do not.

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