What is a PCP?
A PCP is a primary care provider. He or she can be a doctor or nurse practitioner; usually someone trained in family or general practice, internal medicine, or pediatrics. Generally, a PCP is the first health care professional you see when you need a physical examination or other routine medical services. Then, if necessary, your PCP will refer you to specialists, hospitals, and other providers.
Our HMO Blue®, HMO Blue New EnglandSM, Access BlueSM New England, Blue Choice®, and Blue Choice New EnglandSM health plans require a PCP designation for services to be covered and paid. With these plans, each covered family member needs to have a PCP from a network provider.
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