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When you sign up for an HMO, your first step is to pick a primary are physican (PCP) to manage your care. You may already have a PCP, such as your family doctor. A child’s pediatrician and a woman’s OB/Gyn can also act as their PCP.
But what if you need specialist care for a serious issue? Your PCP can help.
Your PCP can make sure you get the care you need from the right type of specialist. They can also recommend specialists that are in your HMO network, to make sure your visits with the specialist are covered.
The PCP will:
Two quick things you’ll want to make sure happen:
It’s your right to ask questions to make sure your doctors are using your HMO the right way.
You can get more information about your HMO health plan at any time. Just log in or register for your member account, Blue Access for MembersSM. Visit the My Coverage tab to verify your coverage and identify your medical group and PCP.
Originally published August 21, 2015; Revised 2020
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