What is a Primary Care Physician?
Many health plans require you to choose a doctor to see for routine care. This doctor is called your Primary Care Physician (PCP).
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In addition to routine care, you’ll see your Primary Care Physician any time you have a health question or potential illness. This doctor will give you an initial diagnosis and a referral to see a specialist within the health plan’s provider network. Without this referral, your plan may not cover the cost of seeing the specialist.
Primary Care Physicians are usually:
- General Practitioners (specializing in “family medicine”)
- Internists (specializing in care for adults)
- Pediatricians (specializing in care for children)
- OB/GYNs (specializing in care for women)
If you have certain health conditions, your plan may allow you to choose a doctor who specializes in treating that condition as your Primary Care Physician.
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