Oct. 3, 2025 (Updated Feb. 10, 2026)
Participants with TRS plans TRS-ActiveCare Primary or TRS-ActiveCare Primary+ need a referral from their primary care provider to see most in-network specialists. However, they don’t need a referral for in-network:
- Emergency care
- OB-GYN appointments, including annual well-woman exams
- Mental health specialists
- Dermatologist visits
- Physical therapist visits
- Eye exams (both routine and diagnostic) with an in-network optometrist or ophthalmologist
Participants with TRS-ActiveCare HD or TRS-ActiveCare 2 don't need a referral to see a specialist.
Learn more about TRS specialist referrals here or visit TRS tools for more information.