Covered Medical Services

Specialty Care

Specialists are doctors who see patients with special health care conditions, such as asthma, diabetes, or heart problems. Your Medical Home will refer you to a specialist if you need expert advice or treatment for a specific problem.

Some Medical Homes have specialists on staff who can treat you. Others will refer you to specialists at one of the hospitals in your Medical Home Network. You may not see a specialist without a referral from your Medical Home. If you see a specialist without a referral from your Medical Home, Healthy San Francisco will not pay for the treatment you receive.