What Is a Primary Care Physician (PCP)?

A primary care physician (PCP) is a doctor who provides general medical care, preventive services, and ongoing health management. They diagnose and treat a wide range of conditions, help manage chronic illnesses, and coordinate care with specialists when needed. The term PCP is sometimes used interchangeably with “primary care provider,” a broader term that can include other providers like nurse practitioners (NPs) and physician assistants (PAs).

Why does a PCP matter?

• Continuity of care: PCPs develop long-term relationships with patients, tracking health changes over time and ensuring consistency in treatment.
• Preventive services: Routine screenings, vaccinations, and wellness visits with a PCP can help detect health issues early.
• Specialist coordination: A PCP provides referrals and helps ensure different healthcare providers are communicating about your care.
• Medicare and insurance coverage: Many Medicare and private insurance plans cover preventive services and annual checkups with a PCP, making regular visits accessible.

Choosing a PCP

Selecting the right PCP depends on factors like specialty, availability, and insurance coverage. Some doctors specialize in geriatrics, which can be especially beneficial for older adults and Medicare beneficiaries. Medicare Advantage plans may require patients to have a designated PCP, while Original Medicare allows more flexibility in provider choice.

How Solace can help

A Solace advocate can assist in finding an in-network PCP, scheduling appointments, and ensuring coverage for preventive visits. If you need a referral for specialized care, an advocate can also help coordinate the process and verify insurance benefits.

What to do next

Need help finding the right primary care physician, navigating coverage, or scheduling an appointment? Find an advocate today.