Not sure what it means when you hear the phrase Primary Care Physician, or PCP? Let me explain.
I grew up in a small town. Our town was lucky enough to have our own doctor. People called him the “town doctor” in conversations. It wasn’t uncommon for you to hear someone saying “I can’t shake this cold,” and someone replying “Well, go see the town doctor. He’ll fix you right up.”
Our town’s doctor was Dr. Sanders, and he was my doctor. In fact, he took care of everyone in my family – grandparents, mom and dad, aunts and uncles, sisters and cousins. We went to him for sports and school physicals in the fall each year. We saw him when we had a stomach ache or a cold. My mom called him one Sunday when I fell and took out the corner of the coffee table with my chin, requiring stitches. He took care of all that, times hundreds, every day until he retired at age 70.
We also called Dr. Sanders our “family doctor.” Today, he would be called a primary care physician, or PCP. A PCP may be a family doctor, general medicine practitioner, or in this case, a rural medicine physician.
Whether we’re talking about then or now, the role hasn’t changed much for doctors like Dr. Sanders. He or she would still be the one you would call first when there is a health problem. If you said “I need to call the doctor,” this is “the doctor” you would mean.
I recently read a statistic from the Pew Research Center that 1 out of 3 adult Americans in our modern day “cough and click culture” go to the web first for health information. While the web is a good place for information about a health problem you know you have, it isn’t the best place to go if you have symptoms and want to know what the real problem is. It isn’t where you should go to decide what you could do, if you should see a specialist, or which kind of specialist you would see.
You really shouldn’t use the web to diagnose yourself based on the limited information you know to look for. The fatigue and joint pain you are having may lead you to worry that you have Lupus, a chronic and devastating disease. A doctor can run tests to rule out Lupus and may instead trace your problems to stress, lack of sleep, certain meds or other root causes that can be easily fixed.
If you had “your” doctor, or PCP, already established, your first step would likely be to call for an appointment. Having your own personal doctor is probably the single most important thing you can do for your health. It means you’ll have someone in your corner making sure you get the care you need.
Do You Have an HMO Plan?That doctor-patient relationship is at the center of an HMO plan. An HMO, or Health Maintenance Organization, is designed to give you personalized care because your care is managed by a PCP. Your PCP becomes that personal doctor who partners with you to keep you healthy and well. Having a PCP means you can focus on prevention through routine care, or catch problems before they get to be big problems. And you can focus on making sure big problems get the ongoing attention they need so that they don’t become worse, even life-threatening.Your HMO, Your PCP and You To make the most of your relationship with your PCP and get the most out of your HMO, keep these tips in mind:
So, What's the Difference Between a PCP and an HCP?
According to UC Berkely, a Health Care Practitioner (HCP) is a person who has been trained in a specific kind of medicine to help target health issues. These can be doctors, nurses or specialists.
Most often a doctor (MD), a primary care provider (PCP) is a health care practitioner who manages a patient’s health over a long period of time. This is a care provider who sees people that have common medical concerns or are seeing preventive care. A PCP can also be a physician assistant or a nurse practitioner.
Both will file claims with your insurance provider. Long story short, a PCP is a type of HCP, but an HCP might not be a PCP. It is always a good idea to talk to your doctor—by that we mean your PCP-- about any other treatments that you receive from a specialist or other provider or HCP. Make sense?
To get information about your health plan or need to fine a PCP, log on to Blue Access for Members and use our Provider Finder, a search tool that lists the providers who are part of your HMO plan’s provider network.
SIGN IN to share your comments or REGISTER today to become a Connect member.
LOG IN if you are a member or REGISTER today to become a Blue Access member.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. © Copyright 2019 Health Care Service Corporation. All Rights Reserved.
Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Texas.
File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com.