What Kind of Services Qualify for a Primary Care Office Visit Copay?

Depending on your plan, visits to certain doctors may or may not qualify for primary care office visit copays.

For example, PPO members pay primary care office visit copays if they go to family practice or internal medicine physicians, or other primary care practitioners within the network.

But if they get care from a specialty care practitioner, such as a dermatologist or gastroenterologist, that would be a specialist office visit copay.

HMO members can only get the primary care office visit copay if they go to their primary care physician.

Select your plan type to find out which kinds of doctors qualify for a primary care office visit copay.

If you need additional help finding a doctor, contact us and talk to one of our customer service representatives.

You only get a primary care office visit copay when you visit your primary care physician. Any of the following can be your primary care physician:

  • Family and general practice doctors treat patients of all ages and provide obstetric and gynecologic care.
  • Preventive medicine doctors promote health and well-being for patients of all ages.
  • Internal medicine doctors identify and treat illnesses in adolescent, adult and geriatric patients. Most patients are 18 and older.
  • Internal medicine and pediatric doctors identify and treat illnesses in infants, children, adolescents and adults.
  • Pediatricians treat infants, children and adolescents under age 18.

If you'd like to select or change your primary care physician, read How can I choose or change my primary care physician online?

You only get a primary care office visit copay when you visit your primary care physician. Any of the following can be your primary care physician:

  • Family and general practice doctors treat patients of all ages and provide obstetric and gynecologic care.
  • Preventive medicine doctors promote health and well-being for patients of all ages.
  • Internal medicine doctors identify and treat illnesses in adolescent, adult and geriatric patients. Most patients are 18 and older.
  • Internal medicine and pediatric doctors identify and treat illnesses in infants, children, adolescents and adults.
  • Pediatricians treat infants, children and adolescents under age 18.

If you'd like to select or change your primary care physician, read How can I choose or change my primary care physician online?

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