Choosing a Provider

Choosing a primary care provider (PCP)

 

When you join this plan, you select a plan provider as your primary care provider (PCP). Your relationship with your PCP is very important, because he or she will work with us to provide or arrange most of your health care.

PCP choices
Each covered family member should choose his or her own PCP. The provider can be a:

  • Family practice doctor (for members of all ages)
  • Doctor of internal medicine (for members over 18)
  • Pediatrician (for members under 18)
  • Doctor of geriatric medicine
  • Doctor of adolescent medicine
  • A nurse practitioner (in appropriate primary care provider specialty, i.e. internal medicine, pediatrics or family practice)

The FCHP Select Care Provider Network directory contains names of plan providers, their address and admitting hospital(s), who are available as PCPs. If you haven’t selected a PCP and you don’t have a plan provider list, Customer Service will send you a free directory, or provide you with further information on plan providers. You can also visit our Web site fchp.org to obtain names of plan providers in your area.

Keep your PCP’s phone number handy
It’s also a good idea to keep your PCP’s telephone number in your wallet and at home by your phone. If you need to see someone right away, your PCP (or an on-call provider) will direct you. Plan providers’ telephones are answered 24 hours a day, seven days a week for emergencies and urgent care needs.

FHLAC requires the designation of a primary care provider. You have the right to designate any primary care provider who participates in our network and who is available to accept you or your family members. Until you make this designation, FHLAC designates one for you. For information on how to select a primary care provider, and for a list of the participating primary care providers, contact Customer Service at 1-800-868-5200 or visit our Web site at fchp.org to obtain a list of PCPs in your area. For children, you may designate a pediatrician as the primary care provider. You do not need prior authorization from FHLAC or from any other person (including a primary care provider) in order to obtain access to obstetrical or gynecological care from a health care professional in our network who specializes in obstetrics or gynecology. The health care professional, however, may be required to comply with certain procedures, including obtaining prior authorization for certain services, following a pre-approved treatment plan, or procedures for making referrals.

For a list of participating health care professionals who specialize in obstetrics or gynecology, contact Customer Service at 1-800-868-5200 or visit our Web site at fchp.org.