Woman's Principal Health Care Provider (WPHCP)……means a physician licensed to practice medicine in all of its branches, specializing in obstetrics or gynecology or specializing in family practice. Blue Cross and Blue Shield of Illinois is a Division of Health Care Service Corporation GB‐16 HCSC NGF.
What does fsphp stand for?
ProZ.com Headquarters 235 Harrison Street Mail Drop #22 Syracuse, NY 13202 USA +1-315-463-7323
Does phcp work for people who are overweight or obese?
Oct 27, 2020 · Provider (WPHCP) • Definition: A personal doctor you choose to manage your care. • When to use: Start with your PCP or WPHCP for any care that’s within normal business hours and isn’t an emergency. For emergencies, see the “Emergency Department Care” section on the next page. • Why: This doctor will make sure you get the treatment you need.
Is it unconscionable to have a large number of non-phcp patients?
Health Care Provider (WPHCP) • Definition: A personal doctor you choose to manage your care. • When to use: Start here for anything that isn’t an emergency (see “Emergency Room Care” section) and is within normal operating hours • Why: Going to a PCP helps make sure you are getting the treatment you need.
What is a primary care physician (PCP)?
Woman's Principal Health Care Provider (WPHCP)……means a physician licensed to practice medicine in all of its branches, specializing in obstetrics or gynecology or specializing in family practice. Blue Cross and Blue Shield of Illinois is a Division of Health Care Service Corporation GB‐16 HCSC NGF.
What does Wphcp stand for in healthcare?
WPHCP. Women's Principal Health Care Provider.
Which plan requires you to get a referral to see a specialist?
health maintenance organization (HMO)Simply said, health maintenance organization (HMO) plans and point of service (POS) plans will require a referral before seeing a specialist. On the other hand, preferred provider organization (PPO) and exclusive provider organization (EPO) plans do not require a referral.
Do doctors get paid for referrals to specialists?
For instance, by federal law a doctor cannot refer patients to himself or to a business in which he has a significant financial stake, like a laboratory or imaging center, and he cannot be paid for a referral. The reasoning is that such behavior can interfere with clinical judgment, decrease quality and increase costs.
Why do doctors not like Medicare Advantage plans?
If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.
What is a PCP in HMO?
When you first sign up for an HMO health plan, you choose, or are assigned, a primary care physician (PCP) who's part of a medical group/independent practice association (MG/IPA). Each person on your plan can pick their own PCP. PCPs typically focus on general internal medicine or family medicine.
What type of doctor is a PCP?
Women and girls can choose an OB/GYN or a WPHCP as their PCP. Older adults can choose a geriatric doctor. Children can have a pediatrician as their PCP.
What is an HMO provider?
You have access to certain doctors and hospitals, called your HMO provider network . This helps control how much you pay for health care. Your care is managed by one primary care physician — your personal doctor — who helps make sure you get the right care at the right time and at the right place. Back to Top.
Do women need a referral to see a WPHCP?
Women don't need a referral to see your in-network Woman's Principal Health Care Provider (WPHCP). In addition, you will need a referral to visit a hospital for non-emergency services. You can search for participating hospitals and providers in Provider Finder to see who is covered in your network.
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