How to find a primary care doctor

Choosing the right primary care physician (PCP) is a crucial step toward managing your health effectively. Your PCP, commonly referred to as a family doctor, serves as your main healthcare provider, addressing most of your medical needs, including wellness visits, routine screenings, and non-emergency illnesses.

Building a trusting relationship with your PCP can lead to better health outcomes and a more personalized healthcare experience.

“Selecting a primary care doctor is about more than just convenience. It’s about finding a trusted partner in your health journey,” said Dr. Jeremy Wigginton, Chief Medical Officer at Capital Blue Cross. “The right doctor knows and understands your medical history, personalizes your care based on that history, and helps you stay ahead of potential health concerns.”

What type of primary care doctor is right for me?

Primary care physicians come from various specialties, each focusing on different aspects of the health of you and your family:

• Family Practice Physicians: These doctors treat patients of all ages, from newborns to seniors. They are generalists capable of addressing a wide range of conditions, and can sometimes manage issues typically handled by specialists. For example, family practice doctors can be your first point of contact for sports injuries, allergies, skin conditions, or women’s health needs. They also are typically your go-to for preventive care like annual physicals or immunizations.
• Internal Medicine Physicians: Specializing in adult care, these physicians focus on the prevention, diagnosis, and management of diseases and chronic conditions.
• General Practice Physicians: Similar to family practice doctors, general practitioners treat patients of any gender or age. This category may include osteopaths (D.O.), who practice a type of alternative medicine with a special focus on the musculoskeletal system.
• Pediatricians: Doctors who specialize in the care of children, managing health from infancy through adolescence. Typically, once reaching the age of 18, those under the care of a pediatrician will transition to another type of primary care doctor.

Consider your specific health needs and preferences when choosing the type of PCP that aligns best with your expectations. And keep in mind that PCP offices sometimes have physician assistants (PAs) and nurse practitioners (NPs) on staff as well – licensed clinicians who also can help serve patients.

How can recommendations help in choosing a PCP?

Personal recommendations can provide valuable insights into a physician's practice style and patient care approach. Ask friends, family members, coworkers, or other healthcare professionals, such as pharmacists or dentists, for their suggestions. If you're relocating, your current doctor may also have recommendations in your new area.

What should I consider when selecting a primary care doctor?

• Location: Choose a doctor whose office is near your home or workplace to facilitate easy access.
• Office hours: Ensure the doctor's availability aligns with your schedule. Some physicians offer evening or weekend appointments, which can be beneficial if you have a demanding work schedule.
• Hospital affiliations: Verify which hospitals the doctor is affiliated with, especially if you have a preferred medical facility.
• Language and communication: Effective communication is vital. If you have specific language needs, try to find a doctor that can accommodate them. Ask about specific communication methods – such as email, texting or online patient portals – if those options are important to you.

How do I find a primary care physician within my network?

To minimize out-of-pocket expenses, select a PCP within your health insurance plan’s network. Insurance plans providers more cost-effective choices than their “out-of-network” counterparts.

“Choosing an in-network doctor helps ensure you’re receiving high-quality care at the best possible cost,” Dr. Wigginton said.

Capital Blue Cross members can find in-network doctors by using the MyCare Finder tool, or by calling the customer service number on the back of your member ID card.

Making sure your doctor is right for you

Meeting a potential PCP in person is the best way to assess whether he or she the right fit for you. Like any trusted relationship, your comfort level is key. During your initial visit, consider the following:

• Comfort level: Do you feel at ease discussing your health concerns with the doctor?
• Communication style: Does the doctor listen attentively and explain things clearly?
• Office environment: Is the staff friendly and efficient? Are the facilities clean and well-maintained?

"Your first visit with a primary care physician is an opportunity to establish a foundation of trust,” Dr. Wigginton said. “Pay attention to how well they listen, explain things, and make you feel comfortable. Open communication is crucial to quality care outcomes.”

You and your primary care physician: A partnership in health

Choosing your new primary care doctor is a big decision! Remember, this relationship is a partnership. It’s important to choose a provider you trust.

By considering these factors and using resources from Capital Blue Cross, you can find a primary care physician who meets your needs and supports your health and well-being.