The only health insurance plans which require a referral from your primary care doctor are those under Keystone Health Plan. Medicare, Blue Cross Blue Shield, Aetna, Personal Choice and all most all of the other local plans do not require referrals for chiropractic care. Some primary providers may require a patient with Keystone Health Plan as their health insurance to be seen in their office before issuing a referral.
Additionally, those on work comp must be seen by a panel doctor in the first 90 days of care and then can choose any doctor they want.
For more information on health insurance coverage please visit here