To Check the Status of a Referral:

  • Call Member Services at 1-800-977-7332 OR
  • Ask your PCP or Specialist to verify the status of your Referral using the SCCIPA Internet System.

Tips for HMO Patients

SCCIPA works with your doctors and your health plans to keep you healthy. To make sure your HMO services will be covered by SCCIPA, please use the following guidelines* and call Member Services if you have any questions, 1-800-977-7332 (Monday - Friday 8 am - 5 pm)

Laboratory, Radiology & Physical Therapy Services

SCCIPA offers a large network of providers for covered laboratory, radiology and physical therapy services:

Referrals to Specialists

Your Primary Care Physician (PCP), who is responsible for the overall management of your healthcare, must coordinate all Referrals to Specialists. All Referrals are confirmed by a Referral Authorization letter which includes the Specialist name, location, number of visits and expiration date of the referral. Take this letter to your first appointment for Specialty care.

*Please refer to your HMO materials for the exact terms and conditions of your benefit coverage. At SCCIPA all medical decision making is based on appropriate care and service with no incentives to our providers or staff to encourage inappropriate underutilization.