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Primary care provider

About 72% of the consumers surveyed knew whether or not they were required to choose a primary care provider for routine care.

The primary care provider is the health care professional that you choose to help you manage your health care. He or she provides routine services and refers you to a specialist when necessary. Because your primary care doctor will be responsible for managing all of your health care, it is important for you to establish a good relationship with him or her so that you can discuss all of your concerns.

Managed care plans in Wisconsin must allow you to choose a physician specializing in family practice, internal medicine or pediatrics as your primary care physician. Some plans also allow you to choose other types of specialists for your primary care. And some health plans allow you to choose a clinic as your primary care provider rather than an individual doctor. These plans allow you to see any doctor in your primary care clinic for your health care needs.

Courtesy of:

Article written and published by:

Barbara Belling
Managed Care Specialist
Office of the Commissioner of Insurance

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