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Having a Primary Care Physician Makes a Difference

May 25, 2022
The right doctor can have a positive impact on your health and well-being. Choosing one in your plan can save you money as well. The following information can help you find a doctor who is a good fit for you and your family.
Why you should have a primary care doctor
A primary care physician (PCP) serves as your main doctor and is your first stop when you need care.
When you see the same doctor over time, they can:

The main types of primary care doctors include:

  • Family practitioners and general practice doctors treat people of all ages. This type of doctor might be a good choice if you want to keep your family’s care “under one roof.”
  • Internal medicine doctors, also called internists, treat adults and may have special knowledge about certain health problems. If you have a long-term health condition, an internist who specializes in your issue may be a good fit.
  • Pediatricians specialize in caring for children, from birth to early adulthood.

What to consider when choosing your doctor:

Every doctor is different. Take time to find a doctor who makes you feel comfortable, listens to your needs, and explains things clearly. It’s also important to find out if the doctor:

  • Is part of your health plan’s network. You’ll pay less out of pocket for your visits, preventive care screenings, vaccines, and annual physicals. If your doctor is not in your plan’s network, you may not be covered at all.
  • Has the training and background to treat your health problems.
  • Has an office in a convenient location, close to your home or work.
  • Holds office hours that work with your schedule.
  • Offers telehealth options, such as text, email, phone, or video visits.

You can visit different doctors in your plan’s network to find the one who is right for you. If you’re not happy with your first choice, it’s okay. You may be able to change your primary care doctor depending on your plan.

Ways to find a doctor in your plan:
Call Member Services:

Basic, PLUS, and Community Choice Members
833-663-4176 (TTY/TDD: 711)
Monday to Friday, 8 a.m. to 8 p.m.

Medicare Extension Members
800-442-9300 (TTY/TDD: 711)
Monday to Thursday, 7:30 a.m. to 6 p.m.
Friday, 7:30 a.m. to 5 p.m.

If you believe you are having a life-threatening emergency or your health is in serious jeopardy, call 911 immediately.

WebMD website: How to Choosea Doctor (accessed November 2021): Centers for Disease Control and Prevention website: Regular Check-UpsareImportant (accessed November 2021):