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Once
you have chosen Community
First Health Plans,
your next choice is
to select who will
provide the majority
of health care services
to you and your qualified
dependents. Your Primary
Care Physician (PCP)
will be the one you
call when you need
medical advice, when
you are sick, and
when you need preventive
care such as immunizations.
Each Member may select
his or her own PCP
from the Community
First Provider Directory.
Select a PCP who is
a family or general
practitioner, internist,
or pediatrician.
If your PCP is
also part of a
Limited Provider
Network (an association
of health professionals
who work together
to provide a full
range of health
care services),
you may also be
choosing a specific
group of specialists,
hospitals and/or
ancillary providers
who are part of
your PCP's network.
In such a case,
you may not be
allowed to receive
services from
any physician
or health care
professional that
is not also part
of your PCP's
network. All of
your care will
be provided within
the network to
which your PCP
belongs, so make
sure that your
PCP's network
includes the specialists
(excluding OB/Gyn
and Behavioral
Health providers)
and hospitals
that you prefer.
If you have a
chronic, disabling,
or life-threatening
condition, you
may request to
use a Specialty
Care Provider
(SCP) as your
PCP. Your request
must include information
about the medical
necessity of your
request and be
signed by you
and your SCP.
For your SCP to
named as your
PCP, he or she
must meet all
of Community First's
requirements for
PCPs and be willing
to accept the
responsibility
of coordinating
all of your health
care needs.
Community First Health Plans will provide services
in the following Texas counties: Atascosa, Bandera,
Bexar, Comal, Guadalupe, Kendall, Medina, and
Wilson. Please see Community
First’s Provider Directory for a Service
Area Map, a listing of zip codes included within
the Service Area, and locations for all health
care delivery sites.
If you desire
to change your
PCP, please call
the Member Services
Department at
the phone numbers
in the
contact directory.
A representative
will be happy
to assist you.
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