Commonwealth Care Member Guide - BMC HealthNet Plan

YOUR PCP
Your primary care provider (PCP) is
a health professional who delivers or
coordinates the care you need and helps
you stay healthy.
Let us know if you have trouble making an
appointment with your provider.
Your PCP…
Gives you advice to help you get better
and keep you healthy
Writes prescriptions if you need them
Sends you to see a specialist provider if
needed
YOUR HEALTH PLAN
At BMC HealthNet Plan we work with your
medical providers to help you get the
right care and the most out of your health
insurance.
We have people working in our offices
across the state to help you.
Don’t wait until you get sick. Call your PCP
to make an appointment right away.
What happens during your first visit to
your PCP?
Your PCP will most likely…
Give you a physical exam
Ask you questions about you and your
family’s health
Recommend any tests you may need
TO MAKE YOUR FIRST APPOINTMENT WITH
YOUR PCP, CALL HIS OR HER OFFICE.
By using the private, online member selfservice
feature you may…
Order ID cards
Search for a claim
Change your address
Pick or change a PCP
Fill out (online) or print a Health Risk
Assessment (HRA) form
View member benefits specific to your plan
type
BMC HealthNet Plan’s Web site (bmchp.org)
On our main Web site you may…
Search for a network provider near your
home
Read about your benefits (Evidence of
Coverage)
Find out about our special health programs
Access our pharmacy web page
Changing your PCP— online or by phone
You may change your PCP up to three
times a calendar year for any reason.
Examples include:
Your current PCP moves out of the network
You don’t like the way your PCP treats you
during an office visit
You did not select your current PCP
IF YOU NEED HELP PICKING YOUR PCP, CALL
MEMBER SERVICES. AND LET US KNOW IF YOU
HAVE TROUBLE MAKING AN APPOINTMENT.
8