Overview of Georgia’s Ambetter Networks

(For Use in Our Practice)

Ambetter Premier, Gold, Silver, and Bronze Plans

These Ambetter plans do not require a referral from a primary care provider (PCP) for routine podiatry visits at our practice. However, certain services may still require prior authorization, depending on the patient’s specific plan and the type of service being performed.

Referral & Authorization Policy

Some insurance plans require a referral or prior authorization before your visit. These rules are set by your insurance company, not our office.

Checking this ahead of time helps prevent:

• Denied claims
• Unexpected out‑of‑pocket costs
• Delays in care

Your Responsibility

Patients are responsible for confirming whether their insurance plan requires:

• A referral
• Prior authorization
• Any special documentation

If a Required Referral or Authorization Is Missing

If a required referral or authorization is not obtained by you or by our office, a fee equal to 25% of the standard office visit charge will apply.

This policy helps ensure your visit remains covered and reduces the risk of surprise bills.