Primary Care Provider (PCP)
As our member, you have a Primary Care Provider (PCP) within our network of providers. You must get your routine or basic care from your PCP. Your PCP will coordinate the rest of the covered services you receive as a member. For example, in order for you to see a specialist, you usually need to get you PCP's approval first; this is called getting a referral to a specialist.
A “network” provider is a provider that participates in our plan. You must use network providers to get your medical care and services, with limited exceptions. The only exceptions are emergencies and urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor AlohaCare Advantage Plus will be responsible for the costs.
Last updated 11/16/2016. Please contact AlohaCare for more information.