Speciality Care

As a Group Health member, you can consult with most Group Health specialists at Group Health-owned or -operated medical centers without a referral from your personal physician. Consultations with non-Group Health specialists require a referral from your personal physician.

•	Women may self-refer to obstetricians and gynecologists, advanced registered nurse practitioners (ARNPs), certified nurse-midwives, physician assistants.
•	Spokane-area members may self-refer for hematology, oncology, and physical therapy at Spokane-area medical centers.
•	Alliant health plan members may select a personal physcian from Group Health, The Everett Clinic, or Virginia Mason Medical Center. If you select your personal physician from Group Health or The Everett Clinic, you will need a referral for specialty care at Virginia Mason.

Self-Referral Specialists

You may self-refer for the following specialities. For detailed information about what your health plan allows, see your coverage agreement or contact Customer Service.

•	Allergies
•	Audiology and hearing
•	Behavioral health
•	Cardiology
•	Dermatology*
•	Free & Clear tobacco cessation program
•	Urology and gastroenterology
•	General surgery
•	Hematology
•	Hospice
•	Internal medicine
•	Nephrology
•	Neurology
•	Occupational medicine**
•	Oncology
•	Optometry and ophthalmology
•	Orthopedics
•	Otolaryngology
•	Physical therapy**
•	Speech, Language, and Learning Services**
•	Urology

*	Due to a national shortage of dermatologists, wait times for appointments may be longer than expected.
**	Medicare patients must be referred for this service.