Accessing the Health Plan

Selecting Your Personal Physician
As a member of Health Plan Select, you and your covered family members must each select a per-sonal physician to care for your healthcare needs. This personal physician, also called a Primary Care Physician, will coordinate all of your medical care from primary and preventative care to spe-cialty or hospital care. Please use the following guidelines when selecting your personal physician:

1. MEDICAL ORIENTATION:
Pediatricians see patients from birth through adolescence. Family Practitioners and General Practitioners see patients of all ages. Internists mainly see adult patients. NOTE: YOU MAY NOT SELECT AN OB/GYN OR A SPECIALIST AS YOUR PRIMARY CARE PHYSICIAN.
2. OFFICE LOCATION:
Consider the location of the Primary Care Physician’s office you would like to use. Would you like your physician’s office to be closer to home or work?
3. OFFICE HOURS:
Each physician’s office in the Health Plan Select network keeps its own office hours. Please consider any special medical needs you or a family member may have that would require you to need a Primary Care Physician that keeps extended or weekend hours. REMEMBER: All Health Plan Select network physicians are required to provide 24-hour on-call service to their patients. That means that any time, day or night, you may call your Primary Care Physician’s office and have an on-call physician from that office call you back. Please refer to a current copy of our primary care physician PATIENT STATUS SHEET when selecting your personal physician. This sheet provides the latest information about which network physicians are accepting new patients.
Important Membership Information

1. CUSTOMER SERVICE:
If, at any time, you have questions, comments or concerns about your healthcare coverage with Health Plan Select, we encourage you to call our Member Services department at (706) 549-0549, ext. 6360. Our member service representatives are available from 8:30 a.m.– 5 p.m. Monday through Friday to assist you.
2. YOUR PCP AND YOU:
Once you (and your covered family members) have selected your Primary Care Physician(s), it is very important that you schedule an appointment with that physician so you can become acquainted.
3. REFERRALS:

The PCP will arrange all of the employee’s care. If the PCP feels a visit to a specialist is needed, they will refer the employee to an in-network specialist. HPS does not need to be notified of a referral by the PCP to an in-network specialist. An in-network specialist is defined as those providers within our service area that have signed contracts with HPS to provide specialty services to covered members.

 
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