Primary Care Plan (Routine Medical Care) is not insurance. Primary Care Plan membership offers members access to board certified physicians to seek primary care services for routine consultations, diagnostic tests, prescription medications/refills, and telehealth. Preventive care is key to improve health and manage healthcare costs. Majority of healthcare issues can be handled at the primary care level if addressed timely. MyPhysicianPlan offers an opportunity for people to receive primary care services through Primary Care Plan membership, without any limitations on member age or pre-existing conditions.
In Network: MyPhysicianPlan PCP Network:
Plan Highlights:
The My Physician Plan Primary Care Benefit Plan is a healthcare plan designed to offer members access to a range of primary care services, including in-person and telehealth visits, lab tests, preventive care, and discounts on prescriptions. It is structured to provide more affordable and accessible healthcare services compared to traditional insurance.
The Primary Care Plan focuses on primary care services and offers direct access to a healthcare provider without the need for referrals, often at a lower cost. Unlike traditional health insurance, it does not typically cover hospitalizations, specialist visits, or major medical treatments, making it more cost-effective for routine and preventative care.
There are generally no age restrictions or exclusions for pre-existing conditions. The plan is designed to be inclusive and offer services to individuals regardless of their health history. However, some specific medical conditions or additional requirements may need to be verified before enrollment.
The plan typically covers primary care services such as office visits, preventative care (annual check-ups, vaccinations), telehealth consultations, routine lab tests, and some minor diagnostic services.
The copay for in-person visits usually ranges from $10 to $40 per visit, depending on the plan and location. Some plans may offer unlimited in-person visits with no copay for specific services.
Telehealth consultations often cost between $10 and $30 per visit for plan members, depending on the specific coverage level. This provides a convenient and affordable way to access healthcare remotely.
Lab tests are usually covered under the plan, with members responsible for a small portion of the fee. The cost can vary but generally involves a copay or coinsurance of about 10-20% depending on the type of test.
The prescription savings card helps members save money on medications by offering discounted rates at participating pharmacies. Members simply present the card when filling prescriptions to receive a lower price.
The Primary Care Plan is typically designed for in-network care only. However, some plans may offer limited out-of-network benefits at a higher cost or reduced reimbursement rate.
Most Primary Care Plans do not have a deductible, as the plan focuses on affordable, direct care with minimal out-of-pocket expenses. There is typically no maximum coverage limit for primary care services, but other services may have limits or caps.
Membership costs for the Primary Care Plan typically range from $30 to $100 per month, depending on the plan's coverage and benefits. The minimum duration is usually 12 months, though some providers may offer shorter plans.
Yes, annual physical exams are often included as part of the Primary Care Plan to help with preventive health care.
Vaccinations and flu shots are typically covered under the plan, with little to no cost to the member. Some plans may require a copay or offer these services for free at participating providers.
Diagnostic tests such as radiology are typically billed separately, but at a discounted rate for plan members. The cost is often shared with the member through a copay or coinsurance, depending on the test.
Yes, the Primary Care Plan can usually be extended on a month-to-month basis after the initial term. Some plans may allow for extensions of up to 12 months, but the specific duration varies by provider.
