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Your Primary Care Provider
As a Member of Atlantis Health Plan, you are required to choose a Primary Care Provider (PCP). Upon joining the Plan, you will receive a list of PCPs who provide services in your area. In general, a PCP will be a General Practitioner, Family Practitioner, Internist, or Pediatrician. Selected specialists and other health care practitioners who are recognized in the community as providers of primary care may also be allowed the PCP designation.
Family Members will have their own PCP. This is not to suggest that all family Members cannot choose the same PCP, but that each Member must have a PCP designated on the enrollment form.
Your PCP will be responsible for the coordination of your health care. If you have chosen a PCP that you are not established with, contact his or her office as soon as possible in order to set up an appointment for an initial physical and/or evaluation. That way, if you become ill or injured, your PCP will already have information about you and your health history in order to make a determination regarding whether you should be seen by him or her first or immediately referred to a specialist.
Some PCPs are not accepting patients that are not already established with them. In that case, the PCP will be indicated with an asterisk (*) in the provider directory. If you have a question as to whether you are considered an established patient, or if the PCP will accept you into his or her practice, contact the PCP’s office directly.
If you wish to change your PCP at any time, contact Atlantis Health Plan’s Member Services Department at 1-866-747-8422. An ID card with your new PCP designation will be sent to you. Three Primary Care Provider changes are allowed per Member per year. Please allow 10 days for receipt of a new Identification Card.
If you are dissatisfied with a specialist that you have been referred to, please contact your PCP’s office. If a change is unable to be affected by your PCP’s office, contact the Member Services Department