How do I find my Primary Care Provider (PCP)?
Primary Care Provider (PCP) 1 Step 1: Go to the “Primary Care Physicians” tab. 2 Step 2: Select your Product (For example, PA Medicaid or PA Medicare) 3 Step 3: Enter either your city/state or zip code. Or you can enter your county. 3.1 Then choose how far you want to search for your provider.
What kind of doctors are at Butler Health System?
Butler Health System hosts a team of family practice and internal medicine physicians. Family Practitioners treat both children and adults, while internal medicine doctors focus exclusively on adults over the age of 18. Both can act as primary care physicians.
Do primary care physicians accept Medicare patients and assignments?
If you have Medicare Part A and Part B, you'll need to find out if a primary care physician accepts Medicare patients and accepts Medicare assignment (more information on that, below). No matter what type of Medicare plan coverage you have, you will want to access health care providers who are enrolled in Medicare.
How do I find a Medicare Advantage primary care physician?
Many Medicare Advantage plan providers may offer a doctor search tool on their website as a way for you to find a participating primary care physician in your area. Some Medicare Advantage plans allow members to switch primary care doctors at any time, though you should check in with your plan specifically to find out for sure.
How to contact a primary care physician who accepts Medicare?
Find out more about the Medicare Advantage coverage options in your area by calling a licensed insurance agent at. 1-800-557-6059. 1-800-557-6059 TTY Users: 711 24 hours a day, 7 days a week, ...
What is Medicare assignment?
This means the doctor accepts Medicare patients and agrees to accept the Medicare-approved amount as full payment for their goods or services. Does not accept assignment.
What can a licensed agent do for Medicare Advantage?
A licensed agent can help you review Medicare Advantage plans available in your area and may be able to provide you with information about primary care physicians located near you who participate in each given plan.
What is the role of a primary care physician?
One part of the role of a primary care physician is to coordinate a patient’s care between various specialists, labs and other health care facilities. This type of coordinated care can help improve communication and foster a more “team” approach to your care. Convenience.
What to do if you have a condition that warrants regular visits to a specialist?
If you have a particular condition that may warrant regular trips to a specialist, you may want to consider not only the primary care doctor you will select, but also the specialists who you will likely visit for additional care. Visit the doctor.
Does Medicare Advantage require a primary care doctor?
Not every type of Medicare Advantage plan requires a primary care doctor. A Medicare HMO (Health Maintenance Organization) plan generally requires the use of a primary care doctor, and you must obtain referrals before seeing a specialist.
Does a doctor accept assignment?
Does not accept assignment. This means the doctor accepts Medicare patients but does not accept the Medicare-approved amount as full payment. These providers reserve the right to charge up to 15% more than the Medicare-approved amount for their service, a charge known as an “excess charge.”.
How to find a specialist in PA?
Step 1: Go to the “Specialists” tab. Step 2: Select your Product (For example, PA Medicaid or PA Medicare) Step 3: Enter either your city/state or zip code. Or you can enter your county. Then choose how far you want to search for your provider. Step 4: Select the type of Specialist you would like to see.
How long do you have to see a PCP before going to the ER?
Often times you can see your PCP for an illness or injury before going to the ER. If you can’t get an appointment with your PCP within 24 hours , you should go to an Urgent Care Center. Examples of when you would go to an Urgent Care Center.:
How to find a primary care provider?
To find an in-network Primary Care Provider call your Gateway Health Member Services Representative or click on the “Find a Doctor” tab at the top of the Gateway website: Step 1: Go to the “Primary Care Physicians” tab . Step 2: Select your Product (For example, PA Medicaid or PA Medicare)
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