Are there any limits on the number of visits to specialists?

Asked 5 months ago
CIGNA HealthSpring generally does not impose specific limits on the number of visits to specialists. However, the exact terms can vary depending on the specific health plan and its coverage details. It is common for plans to require that a primary care physician refer a member to a specialist in order to ensure that the visits are covered. There may be co-pays or co-insurance associated with these specialist visits that members should be aware of. Additionally, some plans might have different rules for in-network versus out-of-network providers. It is wise for members to review their specific plan documents or policy details to understand any limitations or requirements that may apply. For the most accurate and up-to-date information, individuals can check the relevant section on the official website pertaining to their specific plan.
Jeff Whelpley is the editor / author responsible for this content.
Answered Jul 14, 2025

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