Insurance Terms Glossary: Definition of Primary Care Physician

Primary Care Physician

Insurance Terms Glossary

Primary Care Physician

pri·ma·ry care phy·si·cian

\ˈprī-ˌmer-ē\ ker\ fə-ˈzi-shən\

noun

HMO members must choose a primary care physician (PCP) who will be responsible for all basic treatments and referrals to specialists. PPOs and indemnity health plans do not ask for the name of a PCP.

The policyholder has to pay for the cost of his treatment because he did not use his primary care physician.
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