Hello Class, Tertiary care is a form of care that is highly specialized and occurs when a patient needs more advanced/specific care than what they can receive from primary or secondary care. This kind of care is usually referred by a secondary specialist, but occasionally a primary physician can refer the patient to the tertiary care facility directly. These facilities are often set up by region and are typically found in large teaching hospitals or stand alone centers specific to its service. Some common care services within tertiary care include neurosurgery, advanced neonatal care, plastic surgery, transplants, burn treatments, and dialysis. Due to the complexity of care involved in these kinds of treatments, patients can expect to interact with a large interdisciplinary team. This team may include different specialist, respiratory therapists, case managers, physical therapists, surgeons, nurses, advanced practice nurses, and many others. Because of the increased complexity of this form of healthcare, it typically ends up being a lot more expensive then primary and secondary care. Often times this treatment is funded by insurance, but it is unfortunately common to this not be covered in full. If this happens some patients pay out of pocket, utilize financial assistance programs, or sometimes even obtain funding from donations/GoFundMe's. Thank you, Emily.