Selecting the right Primary Care Physician (PCP) is a crucial decision for your healthcare. Our goal is to empower you with the support and information necessary to choose the best PCP for you and your family. You have the opportunity to select your PCP after enrolling in Aetna Better Health®.
How Do I Choose a PCP?
Before making your choice, verify that the PCP is within our provider network. It’s also important to consider your personal needs and preferences when selecting a Doctor Primario. Ask yourself these questions:
- Office Environment: Is the office staff friendly and helpful? Are they responsive to your calls and inquiries?
- Office Hours: Do the office hours align with your schedule and availability?
- Communication: Is it easy to communicate with the PCP? Do they offer communication options like email or a patient portal?
- Physician Demeanor: Do you prefer a PCP who is warm and personable, or one who is more formal and direct?
- Reputation: What are other patients and healthcare professionals saying about the PCP? Look for online reviews and testimonials.
- Recommendations: Have friends, neighbors, or family members recommended this PCP?
You can also seek advice from your dentist or pharmacist, as they may have insights to help you make an informed decision about your doctor primario.
Where Can You See a PCP?
There are various settings where you can consult a PCP. Some providers have independent practices, while others are part of group practices or clinics. Other care settings include:
- Federally Qualified Health Centers (FQHCs): Plan members are entitled to receive services at these community-based health centers within our network. These centers often serve underserved populations and offer comprehensive primary care services.
- Indian Health Service (IHS) Centers: Members who are American Indian and Alaska Native can access healthcare services at an IHS clinic. These centers are dedicated to providing culturally sensitive care to Native American communities.
- Independent Practice Associations (IPAs): Plan members can request that their PCP or specialist be part of an IPA. These associations are networks of providers, specialists, healthcare systems, and programs that collaborate to manage patient care comprehensively. The IPA coordinates your overall healthcare needs.
What Types of PCPs Are Available?
You have several types of healthcare providers to choose from when selecting your PCP. These include:
- Family Physicians: These doctors provide care for individuals of all ages, from infants to seniors. Family physicians offer a wide range of services, including preventive care, diagnosis and treatment of illnesses, and management of chronic conditions. They may also perform minor in-office procedures.
- Internists: Internists specialize in the care of adults and focus on diagnosing and treating a wide range of medical conditions affecting adults. They are experts in complex medical issues and chronic diseases.
- Obstetricians and Gynecologists (OB/GYNs): OB/GYNs specialize in women’s health, including reproductive health, pregnancy, and childbirth. They often serve as PCPs for women of childbearing age, providing comprehensive women’s health services.
- Physician Assistants (PAs): Physician Assistants are licensed healthcare professionals who practice medicine under the supervision of a physician. They work collaboratively with doctors and can provide a wide range of medical services, including examinations, diagnosis, treatment planning, and prescribing medication.
- Nurse Practitioners (NPs): Nurse Practitioners are Registered Nurses (RNs) with advanced education and training, holding a master’s or doctoral degree. They can provide primary care services, diagnose and treat illnesses, prescribe medications, and manage patient care, often with a focus on holistic and patient-centered care.
What Should I Do After Choosing My PCP?
Once you have selected your doctor primario, it’s important to schedule a “new member check-up.” This visit is also known as a “preventive medical exam” or “initial health assessment.” It should be completed within the first 60 days of becoming a member. During this visit, your PCP will review your medical history, conduct a thorough check-up, and initiate any necessary treatments. They will also discuss preventive care strategies with you and can provide referrals to specialists if needed.
Can I Change My PCP?
Yes, you can change your PCP at any time and select another doctor within our network. To change your PCP, simply call Member Services or visit our Member Portal. In most cases, your PCP change will be effective on the first day of the month following your request.
