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Knowledge Center Choosing a primary care physician

Finding a primary care physician is an important part of maintaining your overall health. Here's how to find a primary care doctor who's right for you.

What is a primary care physician?

A primary care physician – also known as a primary care provider or a PCP – is a doctor who provides routine and preventive health care. They perform regular checkups, help manage ongoing health conditions, order screenings and lab tests, and treat common illnesses and injuries.

Your PCP is often the first person you contact when you have a health concern. They can also refer you to specialists when needed and help coordinate your care.

Establishing a relationship with a primary care physician can help you maintain your health and address concerns before they become more serious.

Benefits of a primary care provider

Primary care physicians serve as a hub for your health and wellness needs, coordinating your care as issues arise. Here are three benefits of having a regular PCP.

They know your medical history

When you see the same doctor over time, they become familiar with your personal and family medical history. This helps them identify changes in your health, recognize patterns, and make more informed treatment decisions.

They coordinate your care

If you need care from specialists, your PCP can help coordinate treatment and keep track of how different providers, medications, and recommendations fit together. This can be especially helpful for people managing chronic conditions.

They focus on your daily wellness

PCPs focus on preventive care, including screenings, vaccinations, and wellness visits. They can also provide guidance on nutrition, exercise, and other healthy habits that support long-term health.

Choosing a primary care physician

Choosing a primary care physician is a personal decision. The right doctor for you depends on factors such as your health needs, insurance coverage, location, and personal preferences. As you compare providers, here are some things to consider:

In-network vs. out-of-network

Check whether the doctor participates in your health plan's network. In-network providers generally cost less than out-of-network providers, helping reduce your out-of-pocket expenses.

Location

Consider how convenient the office location is to your home, work, or daily routine. Choosing a nearby provider may make it easier to stay on schedule with annual checkups and follow-up appointments.

Health care system

Some doctors are part of larger health care systems. Choosing a provider within a health system may make it easier to access specialists, view medical records, and coordinate care across multiple providers.

Personal characteristics

You may prefer a doctor who speaks your preferred language, shares a similar communication style, or has experience caring for people with health concerns similar to yours. Feeling comfortable with your doctor can help you communicate openly and build trust over time.

Finding in-network care

Your health insurance's website likely has a directory of in-network doctors you can use to find a PCP. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) members can use our Find Care search to look for in-network doctors.

Building a relationship with your PCP

A strong relationship with your primary care physician can help you get the most from your care.

Open communication is an important part of that relationship. Share changes in your health, discuss any concerns, and ask questions if you do not understand a diagnosis or treatment plan.

Regular visits and honest conversations help your PCP better understand your health needs and provide care that's right for you.

Take the confusion out of insurance

Get reliable answers to your insurance questions, such as how to get prior authorization and submitting a claim.

Where to go for care

Knowing where to go when you have a health issue is vital to getting the care you need, when you need it. It can also save you time and money.

How to submit a claim

Need to submit a claim for medical services you received? Learn about when and how to file a claim for reimbursement.

In-network vs out-of-network

Learn how your health plan contracts with providers to bring you better care at affordable prices.

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