Primary Care and Prevention Focused Care Model (PCPFCM)

A wellness visit is preventive care that you should get every year. You should go to this doctor visit even though you feel fine. Your health is important to many areas of your life. You and your PCP work together to help maintain or improve your health and help prevent problems that may hurt your health in the future

The HRA is a series of questions that your provider will ask you during your routine wellness visit. The questions will help your provider assess your physical health, emotional health, whether you could benefit from resources to help with food, housing, coaching to help you manage a medical condition, and more.

Your provider may have their own set of questions for you. Or, you may print this HRA (PDF) and complete it and bring it with you to your appointment. 

You may change your PCP to the provider you are seeing as long as that provider is in our network.

To change your PCP please call Member Services at 1-833-704-1177 (TTY 1-855-534-6730) or log in to your Member Portal.

If you have a different in-network doctor you would like to see, you may change your PCP at any time.

If you need to find a new PCP, you can search for a new provider or you can call Member Services at 1-833-704-1177 (TTY 1-855-534-6730).

Your primary care provider (PCP) can be a doctor, nurse practitioner, physician assistant, or another type of provider who will care for your health and help you get referrals for specialized services if you need them.

Women can choose an OB/GYN to serve as their PCP. Women do not need a PCP referral to see an OB/GYN doctor in our network or another provider who offers women's health care services. Women can get routine checkups, follow-up care if needed, and regular care during pregnancy.

If you have a complex health condition or a special health care need, you may be able to choose a specialist to act as your PCP.

For more information or to request to choose a specialist as your PCP, call Member Services at 1-833-704-1177 (TTY 1-855-534-6730). We will work with you to help coordinate the care that you need.

If you need help scheduling an appointment, Member Services can help you. Please call Member Services at 1-833-704-1177 (TTY 1-855-534-6730).