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What does a rheumatologist do?

A rheumatologist is a doctor who treats arthritis and other diseases where the immune system attacks the body. These include rheumatoid arthritis and lupus.

Last updated November 11, 2026

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When people see one

  • Joint pain, swelling, or morning stiffness that lasts weeks
  • Blood tests that point to an autoimmune disease
  • Rheumatoid arthritis, lupus, or gout
  • Unexplained fatigue with joint or muscle pain

How it differs

Orthopedic surgeon: An orthopedic surgeon treats joint injury and wear, including with surgery. A rheumatologist treats joint disease caused by inflammation, mainly with medicine.

On 2027 Colorado plans

Do you need a referral? On some plans. 37 of the 148 2027 plans need a referral from your primary care provider to see a specialist: Kaiser Permanente's 29 plans (you may self-refer to certain specialists) and Denver Health (Elevate)'s 8 plans (self-referral allowed for OB-GYN and outpatient mental health care). The other 111 don't, according to each plan's 2027 summary of benefits. Confirm in the plan's summary of benefits.

What a visit costs (the plan's filed "Specialist Visit" benefit, in network, before any extra savings on silver plans):

  • Bronze: $100 to $140 a visit on 10 of 56 plans; on the other 46, you pay toward your deductible or a share of the bill.
  • Silver: $50 to $90 a visit on 44 of 58 plans; on the other 14, you pay toward your deductible or a share of the bill.
  • Gold: $50 to $90 a visit on 26 of 30 plans; on the other 4, you pay toward your deductible or a share of the bill.

In-network care costs less. Out-of-network visits on an HMO or EPO usually aren't covered except in an emergency.

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In Colorado

Public records list 130 rheumatologists at 77 Colorado locations.

Counties with the fewest: Teller (1), Routt (1), Moffat (1), La Plata (1), Montrose (2). 47 counties have none.

Questions to ask the office

  • Do I need a referral from my primary care doctor?
  • Which 2027 plans and network names do you take?
  • How long is the wait for a new patient?
  • Are infusion treatments given here or at another location?

Sources

General information, not medical advice. Plan facts come from each plan's 2027 filing; confirm in the plan's summary of benefits.

Want help finding rheumatologists on your plan?

A licensed Grove advisor can answer your question at no cost. Insurance companies pay us, and your premium is the same either way.

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