The best way to obtain a referral is to schedule an appointment with your provider so that a referral can be done in a more informed and efficient manner. After consulting with your provider, a mutual decision is made to refer you for diagnostic testing or speciality care depending on your needs. Your provider will make a referral to the referral team and the referral team will work with your insurance company to ensure that the services you’ve been referred to is approved by your insurance agency and to schedule an appointment.
Coordinated care is when all parts of the health care system talk to each other. At Sun Life, we coordinate care with your specialists, hospitals where you receive care, home care teams involved in your care and other support services. It is important that when you receive outside speciality care, your records are shared with your PCP.
At Sun Life, care coordination begins with your Circle of Care Team, which consists of you, your provider, medical assistant, care manager, and nurse. Your team is required to understand you, understand your family dynamics, unique needs, your values and preferences, even your cultural orientation and background. Depending on your needs, other members of the team may include medical specialists, behavioral health and substance abuse providers and/or clinical pharmacist(s).
Your Circle of Care Team is actively involved in working to provide you with the best care possible by accessing different disciplines in the health center and outside. Your Circle of Care Team works closely with local hospitals, off-site specialists and community resources to ensure that we meet the needs of our patients and we provide timely and accurate follow through.
It is important for you to select a primary care provider (PCP) because they are your central resource for healthcare and health information. Not only does your PCP provide preventive and general healthcare, they are your healthcare guide and advocate, directing you to specialists and helping you navigate the healthcare system to ensure you receive the medical care you need.