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What is a Primary Care Physician (PCP) and how do I find one?

A Primary Care Physician or Provider (PCP) is a doctor who: 

  • Is the first point-of-contact for patients

  • Oversees patients’ comprehensive care

  • Helps patients navigate the entire health care system

Why do I need a PCP?​

The following plans require you to have a PCP who coordinates your care and refers you to specialists:

  • Health Maintenance Organization (HMO) plan

  • Point of Service (POS) plan

If your plan doesn’t have this requirement, having a PCP can still be beneficial. A PCP is the main doctor you’ll visit for most of your healthcare needs. They'll ensure you receive the right care by advocating for your needs.
 

A PCP can help with a wide range of issues, including:

  • Diagnosis and treatment of illnesses

  • Health promotion and education

  • Counseling

  • Annual preventative screenings and vaccinations

A PCP also takes continued responsibility for you care, and can refer you to specialists when needed. 
 

Okay, you’ve convinced me. But how do I find a PCP?​

Follow the steps in the article How do I find an in-network provider?

Tip: When searching for an in-network provider, check to see if you can filter your list to only see PCPs.

Can I choose or change my PCP in chat?​

If your plan offers it, you can manage your PCP by chatting with the chat assistant in the app. You can ask the chat assistant to:

  • Show your PCP and any request that's in progress, for example "Who is my PCP?"

  • Find doctors you can choose as your PCP, for example "I need a new primary care doctor." Then select Set as primary doctor on a doctor's card, or tell the chat assistant the doctor's name.

  • Withdraw a PCP request that's still under review, if your plan allows it.

  • Remove your PCP, if your plan allows it. Many plans need you to have a PCP on file.

The chat assistant asks you to confirm before it sends a request or makes a change. Your plan may need to approve a new PCP first. The chat assistant answers in English.