Cleft Lip and Palate and Craniofacial Center Referrals and Second Opinions

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Contact the Cleft Lip and Palate Center

We suggest that all patients follow the guidelines below to obtain the correct referral.

A referral is a form or number from your child's primary care physician approving your child's visit to the Department of Plastic Surgery. Referrals can vary in the number of visits they cover, the length of time that visits can be used, and the services covered.

Referral process

  • Step 1: Verify with your insurance company that you need a referral. If you have an HMO plan, you will probably need to obtain a referral from your primary care physician (PCP) for the visit. If you have a PPO plan, you may not need to obtain a referral, provided that we are in your insurance company's network of providers. If you have an indemnity plan, you should not need a referral.
  • Step 2: Speak with your pediatrician, PCP, referring MD or nurse practitioner about the need for a referral and receive medical approval for the referral before you schedule the appointment.
  • Step 3: When you make an appointment for your child with our specialists, be sure to ask for the specialist's provider ID number for your specific insurance. Some insurances issue provider ID numbers and some do not. This will allow you to more easily confirm with your insurance company if that specialist is a member of your health insurance network; otherwise you may be subject to "out of network" costs.

Referrals for each specialist

During your visit, your child will meet with many specialists. When you book your appointment we will provide you with their names and provider ID numbers. Please obtain a referral for each specialist prior to your visit.

Remember
Make sure you obtain a referral for each specialist your child will be seeing.

The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944

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