My primary care physician has a new policy, the office will not issue any referrals to specialists unless you see the doctor first. Under my insurance, that means I would have to pay a $30.00 copayment just to get my referral and then $50.00 for the specialist. To me this sounds like my primary is charging for referrals which I think is unfair. I have medical issues my primary physician is well aware of and I see specialists several times a year. IF my primary could help me I would of course see him but he himself has told me to see a specialist. I would like to know if anyone else has to see their primary in order to see a specialist (when your primary is aware of the problem and advised you to see a specialist) and if you work for a health insurance company, is the primary allowed to do this in the first place? * I understand that if I hadn't seen my primary for some time, he would want to see me but I see my primary at least four or five times a year and one of my specialists needs to see me every three months.