Go directly to: Content

NOTICE: You are using a browser without adequate or enabled CSS (style sheet) support. This site will appear plain but remain fully useable. To see this site as it is intended, you need to upgrade to a standards-compliant browser, such as the latest version of Internet Explorer or Netscape.


Physician Referrals Out of Network

The Preferred Medical Doctor (PMD) contract specifies in Sections 4.10 and 4.13 that “physicians shall refer members to preferred physicians, preferred podiatry providers, preferred laboratory, and participating hospitals. Physicians must coordinate services outside of the Preferred Provider Network with the corporation’s health management medical director or his/her designee prior to referring members out of network.”