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What is a PCP?

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What is a PCP?

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The PCP (primary care physician) is the doctor, internist, or pediatrician who manages your health care and refers you to specialists or health care service providers, such as laboratories and radiology centers. Under certain circumstances, a specialist or an OB/GYN may be selected as a PCP.

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Your Primary Care Provider (PCP) at UHC is a clinician (Physician, Physician Assistant or Nurse Practitioner) with training, experience and expertise in managing primary care medical problems. Your PCP is the person you should see for most of your needs.

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A PCP is a “primary care physician” you choose from the Aetna network to provide your routine and preventive care. While you must select a PCP for the traditional Aetna Golden Medicare Plan® (HMO), you are not required to select a PCP for the Aetna Golden Medicare Open Access HMO plan, the Aetna Golden Choice™ Plan (PPO) or the Aetna Medicare OpenSM Plan (PFFS). However, if you do choose a PCP with our PPO plan, you will pay a lower copay for office visits. Our plan specialists can help you find a doctor who meets your needs. You can also use Find a Doctor or our provider directory to look for HMO or PPO doctors. To find doctors for PFFS, visit www.medicare.gov and select Find a Doctor under Search tools.

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