If you need a diagnostic procedure or need to see a specialist, your primary care provider (PCP) will give you a referral to another provider at MIT Medical or elsewhere.
Referrals within MIT Medical
If your PCP refers you to another service or provider within MIT, you may contact that service or provider directly to set up the appointment.
Referrals outside of MIT Medical
When your PCP tells you that he or she is referring you for services outside of MIT Medical, it means that the PCP has made a formal request asking the MIT Health Plans Office to approve those services.
The referral process is not complete until the MIT Health Plans Office approves your provider’s request. As long as your provider clearly documents your need for a service that is not readily available at MIT Medical, the referral is likely to be approved quickly. Outside services we cover regularly are usually approved within two business days, and most patients will receive a letter within 10 business days. If you don’t receive this letter before your first scheduled appointment with an outside provider, you can call Claims and Member Services at 617-253-5979 to confirm that the referral has been approved.
If your PCP refers you to a specific outside clinician or facility, you may schedule the appointment yourself. Otherwise, you may need to work with MIT Medical’s Referral Office to identify an appropriate provider and make your first appointment. You can call or stop by the Referral Office on the third floor of MIT Medical, or they will call you.
