Insurance Referrals

My insurance requires a referral in order to see an Alma provider in network. Why? 

Certain health insurance plans require a referral from a primary care physician (i.e., PCP) in order for care to be covered in network. The most common situation where this happens is with Aetna student health plans. To receive off-campus mental health services through Alma that are covered by your insurance, the Student Health Center will need to submit a referral.

How can I request a referral? 

Contact your PCP or the Student Health Center if you have a student health plan. Let them know that you are seeking off-campus mental health services and need a referral in order to receive in-network coverage for care. 

If you are on a non-student health plan and do not have a PCP, contact your insurance. They can help you better understand your options and next steps. 

How will I know if I need a referral to  see an Alma provider? 

It is important that you understand the details of your in-network benefits, including whether your plan requires a referral. If you aren’t sure about your coverage, we recommend reaching out to your insurance company directly. A support phone number or website is typically listed on the insurance ID card.

Once your referral is confirmed by your PCP or your Student Health Center, please let our team know by emailing support@helloalma.com

Does my referral expire? 

Health insurance plans have different requirements for referral renewal. If you have an Aetna Student Health plan, your referral does not need to be renewed during your tenure as a student at your current school. If you transfer schools, you will need to repeat the process if a referral is required on your new plan. Most student health plans expire upon graduation. 

Do I need a referral for any other services under my plan? 

If a referral is required for mental health services, you may need a referral for other services through your plan as well. Contact your insurance company for details about what other types of services require a referral. 

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