Yes, to schedule an appointment with a specialist, POS plans require a referral from your primary care provider. You may also need a referral for some out-of-network providers.

UnitedHealthcare has established a list of these CPT and HCPCS codes along with their appropriate places of service. Please refer to the list located in the Attachments section.

You may have seen acronyms like HMO, PPO, EPO, POS or HDHP — but it may not be completely clear how choosing one over the other changes access to medical care and may …

Oct 8, 2025 · Starting Jan. 1, 2026, most members enrolled in UnitedHealthcare Medicare Advantage HMO and HMO-POS plans will be required to obtain a referral from their primary …

Health care provider information about UnitedHealthcare polices and protocols. Resources for commercial, Medicare Advantage, community, and exchange plans.

vider (PCP) will be your key to fully using your coverage. Cov. red health services must be provided by an in-network PCP. Your PCP oversees your care, guides you along the b. care …

And like with an HMO, you must have a PCP who coordinates your care. That means they have to provide referrals for you to see a specialist (or for you to go out of the network to see one).

What is a United Healthcare Point of Service Plan? A United Healthcare Point of Service (POS) plan requires you to choose a Primary Care Physician (PCP) to help manage your care.

Primary care physician (PCP) is not required but is highly recommended and does not introduce referral requirements. Referral is not required to see a specialist.

Beginning January 1, 2026, the majority of members of UnitedHealthcare Medicare Advantage HMO and HMO-POS plans will need to get a referral from a primary care practitioner (PCP) …