Appropriate Care Decision Guide

Primary Care Provider (PCP)

When to Use:  Your Primary Care Provider (PCP) is a central point for the regular medical services you need and treatment for a variety of mild to moderate injuries, illnesses, and conditions.  Having an established PCP helps to ensure that you will have a medical professional that you can trust to help you make decisions about your health care. PCPs provide treatment for:

• Cold, flu, fever*, earache, sore throat, migraine, nausea, vomiting, mild dehydration, diarrhea, indigestion, mild allergies, infections, and rashes

• Minor injuries: pain, burns, sprains, strains, cuts, and back pain

• Regular physicals, prescription refills, vaccinations, and screenings

• Management of chronic conditions, including high blood pressure, diabetes, arthritis, chronic obstructive pulmonary disease (COPD), asthma, anxiety, and depression
  

Convienient Care Clinics can be used if you need care for a non-urgent mild to moderate injury or illness, but are unable to get a same-day appointment with your PCP.

*Seek emergency care for fevers above ≥ 104°F.  This may vary for children, so please speak with your pediatrician. 

         2018 In-Network Primary Care Provider Costs

†Coinsurance is the percentage of costs of a covered health care service you pay after you've paid your deductible.

NC HealthSmart (Get the Care You Need) Appropriate Care Decision Guide
Plan ​In-Network Provider Cost​ 70/30$40/visit  80/20 ​$25/vist;$10 if you visit your selected PCP (shown on your ID card)