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Selecting a Primary Care Provider (PCP)

Selecting a primary care provider (PCP) is an important step toward managing your health care. Your primary care doctor is your medical “home.” It’s the doctor you visit for most medical needs, including wellness visits and routine screenings, non-emergency illnesses like earaches and sore throats, and the person you speak to about your health questions and concerns. 

Tips for Choosing a Primary Care Provider (PCP)

  1. Call your health insurance carrier to ask if the doctor you would like to see is “in-network".  Also ask about how “out-of-network” providers work with your insurance plan.  
  2. Find a doctor with expertise that meets your health needs. There are several different types of doctors that are identified as a PCP such as family practice, internal medicine, or general practice. There are also doctors who focus on children (pediatricians) who will serve as the primary care physician for your child.
  3. Ask for referrals from family members, co-workers, or friends.
  4. Think about location and office hours.  Do you want a doctor located close to your home or office? Do you need a doctor that offers early morning or evening hours?
  5. Language is another important factor to check. You need to be able to communicate clearly with your doctor, so check which languages he or she speaks to be sure you’ll be able to understand each other.
  6. Does the doctor have an online portal? This can be a convenient way to communicate and view test results and other information.
  7. Visit the doctor. Nothing can really give you a feel for whether you’ve selected the right doctor like an office visit and a face-to-face meeting. Be sure you feel comfortable in the office and with the physician and staff. 

Resources to Help You 

  • NYS Provider & Health Plan Look-Up - Use this tool when you are deciding which health plan to enroll in or when you are looking for a provider, for example a hospital or doctor, that works with your plan. The tool is updated with information sent to New York State directly by health plans. BUT, to be on the safe side, you should still ask the provider if they accept your health plan and participate in your network before receiving health care services or before enrolling in a health plan.
  • Medicare.gov - Find & compare nursing homes, hospitals & other providers near you.
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