Primary Care Physicians - AmeriChoice

Section 1 – Introduction
This directory provides a list of AmeriChoice Personal Care Plus plan providers. To get detailed
information about your health care coverage, please see your Evidence of Coverage.
You will have to choose one of our plan providers that are listed in this directory to be your
Primary Care {Physician/Provider} (PCP). The term “PCP” will be used throughout this
directory. Generally, you must get your health care coverage from your PCP, a licensed medical
doctor (MD) or doctor of osteopathy (DO) or certain other licensed medical practitioner who,
within the scope of practice and in accordance with State certification/licensure requirements,
standards, and practices, is responsible for providing all required primary care services to
enrollees, including periodic examinations, preventive health care and counseling,
immunizations, diagnosis and treatment of illness or injury, coordination of overall medical care,
record maintenance, and initiation of referrals to specialty providers described in this contract
and the Benefits Package, and for maintaining continuity of patient care. A PCP shall include
general/family practitioners, pediatricians, internists, and may include specialist physicians,
physician assistants, Certified Nurse Midwives (CNMs) or Certified Nurse Practitioners/Clinical
Nurse Specialists (CNPs/CNSs), provided that the practitioner is able and willing to carry out all
PCP responsibilities in accordance with these contract provisions and licensure requirements.
The “plan providers” listed in this directory have agreed to provide you with your health care
coverage. You may go to any of our plan providers listed in this directory; referrals are not
required. If you have been going to one plan provider, you are not required to continue going to
that same provider. In some cases, you may get covered services from non-plan providers. Non
par providers must obtain prior authorization. In limited cases, such as emergency care, urgently
needed care when our network is not available, or out of service area dialysis, you may get
covered services from non-plan (out-of-network) providers without obtaining prior authorization.
If an out-of-network provider sends you a bill that you think we should pay for, do not pay the
bill. Please contact Member Services or send the bill to us for payment.
What is the service area for AmeriChoice Personal Care Plus?
The counties in our service area are listed below.
Atlantic, Bergen, Essex, Hudson, Mercer, Middlesex, Monmouth, Ocean, Passaic and Union
How do you find AmeriChoice Personal Care Plus providers in your area?
For an up-to-date Provider Directory, you can visit www.AmeriCchoice.com or call our
Customer Service Department at 1-800-514-4911, 24 hours a day, 7 days a week. TTY/TDD
should call 711.
If you have questions about AmeriChoice Personal Care Plus, please call our Customer Service
Department at (800) 514-4911, 24 hours a day, 7 days a week. TTY users should call 711. Or,
visit www.AmeriChioce.com.
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