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Primary care network is an important term to know. Bankrate explains it.
A primary care network is a roster of primary care physicians who provide health care to members of certain health insurance plans. Doctors in primary care networks often are referred to as general practitioners.
Primary care physicians are doctors who practice general medicine. They’re who patients go to for annual checkups. Sometimes, nurse practitioners or physician assistants can be primary care providers. The primary care provider is a patient’s first stop for health care. Most primary care providers can treat conditions in their own offices; if not, they refer patients to specialists.
Many health insurance plans require their customers to stay within a certain network of care providers. When customers use providers outside their insurer’s network, they do not enjoy the same insurance coverage. Finding a doctor in the primary care network is most customers’ first order of business, as the primary care doctor is the overseer of their care.
When it comes to health insurance and network coverage, most plans fall into one of these tiers:
George has a POS health insurance plan through his employer. When he gets a cold or other routine illness, he sees a doctor he selected from the HMO’s primary care network. When George broke his leg, his primary care doctor referred him to an orthopedic physician who was in the PPO network. George’s health insurance carrier offers its members access to a database that contains the names and contact information for in-network doctors. George checks the database to see which doctors, hospitals and other health providers are in his network.
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