What types of covered services can I get without a referral?

Asked 2 months ago
Coventry Health Care Inc. typically allows members to access certain services without the need for a referral, depending on the specific health plan and its guidelines. Generally, members may be able to receive services such as routine check-ups with primary care physicians, preventive care such as vaccinations, screenings, and annual wellness visits without requiring a referral. Additionally, many health insurance plans under Coventry Health may allow access to some specialists, such as obstetricians or gynecologists, directly without needing a referral from a primary care provider. It is important to note that the specific covered services and rules regarding referrals can vary based on the plan type, so it is essential for members to review their individual benefits. Members should check their plan documents or the Coventry Health Care Inc. website for the most accurate and detailed information regarding which services do not require a referral. This can help in understanding how to effectively utilize their health benefits while ensuring they are receiving the necessary care. If there are any uncertainties, it is advisable to consult the member services section of the website for further clarity and resources.
Jeff Whelpley is the editor / author responsible for this content.
Answered Oct 1, 2025

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