Primary Care Physician PCP

The definition of Primary Care Physician PCP, and how it fits into the Zenefits Health Insurance Marketplace

What is a Primary Care Physician PCP?

When enrolling in an HMO or POS plan, the enrollee and all enrolling dependents are required to designate a Primary Care Physician (PCP). This doctor will be the gatekeeper for all of the enrollee’s services and referrals (see the articles on HMO plans and POS plans for more information on how these plans operate).


How does a  Primary Care Physician PCP work?

When a PCP is required, all of your healthcare needs must go through this Physician first. They will then refer you to specialists where necessary.