What Does PCP Stand For In Health Insurance?
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6 responses to “What Does PCP Stand For In Health Insurance?”
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PCP stands for primary care physician. This is typically a general practitioner you see for medical issues first, unless you go to a hospital’s emergency room for an emergency.
Depending on the plan type you have, you may need to see your primary care physician first before you can see a specialist – the carrier would likely require a referral form to cover the visit to the specialist, otherwise you may be subject to paying the entire visit yourself out of pocket.
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PCP stands for Primary Care Physician. The PCP is like the old fashioned family doctor. A number of health insurance plans require you to visit your PCP first for everything before you see a specialist.
Doctors today are categorized as PCPs or Specialists. Some health insuracne plans have different office visit co-pays for a PCP and a specialist, for example $20 to see your PCP and $40 to see a specialist.
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It’s just the main doctor you choose normally in HMO since they require you to see your main doctor before being referred to a specialist. He’s basically your main doctor and if he is unable to treat you for whatever reason, he will recommend and refer you to another doctor in the network more qualified to treat you.
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As others have noted PCP stands for Primary Care Physician. When using a health program that has PCP’s as part of the plan, it is known as a gatekeeper plan. What that means is when you seek medical care or advice you first go through your PCP to direct you to services beyond what they do. Usually a plan with PCPs does not allow for self direction when it comes to specialist services.
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PCP (primary care provider) is terminology normally used in HMO and POS plans where referrals are needed to see a specialist. Your PCP can be a doctor, nurse practitioner, physicians assistant, etc.
When you first sign up for the coverage you are required to pick a PCP. You can change your primary provider in the future if you wish, but they will be considered a “gatekeeper” of sorts providing you with access to specialist care.
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PCP stands for Primary Care Physician. This is the Dr you choose to be the primary manager of your care. The PCP can then refer you to specialists when needed. You will normally select your PCP from the list of contracted providers offered by your insurance company. I hope this helps.
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