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I’m searching for a new primary care physician(PCP) now, and I wanted to bring you along on the journey.

The importance, value, and need for a primary care physician does vary based upon what sort of insurance you have, but in general everybody should have a doctor they know and trust to see whenever they have a relatively common or minor issue to be treated(such as cold and flu-like symptoms), and somebody who can help keep track of chronic illnesses(even if you need to be referred to specialists at times).

The primary care physician is supposed to be the first person you go to when something’s not right, and should be the doctor that knows you and you trust to refer you to whatever your next steps may be if needed.

The significance of a primary care physician(PCP) depends on the type of insurance you use

Health insurance plans control how much you pay to see the doctors that you want to see(as opposed to the ones who participate in the plan). These are represented by three-letter designations for the plan type, EPO, HMO, POS, and PPO. EPO, HMO, and POS programs often will require you to have a designated PCP.

That doctor is responsible for referring you to any specialists you see, meaning that the operate as gatekeepers.

If your primary care physician won’t write a referral for you to see a particular specialist, you don’t get to see that specialist.

These programs will often assign you to a primary care physician, but usually, you can select a different one, as long as that doctor is also in-network and accepting new patients.

If your insurance requires referrals, it is extra important to make sure that your doctor believes you when you talk about your condition or symptoms and is willing and able to refer you to an appropriate specialist when needed.

It’s important to have a doctor who is compassionate and willing to learn from their patient

The main difference between these three programs is how strict they are about staying inside their selected network of hospitals and doctors, and what medications they cover.

EPO’s are the most restrictive, where you only have access to doctors inside their network.

HMO’s keep you in-network, but will often have some wellness programs. They also often will only work with you if you are inside of their geographic range, since they often build their networks regionally. In other words, you have access to treatment as long as you aren’t outside of your region(often a state, occasionally they only or primarily work with certain counties in the state). Many Medicaid plans now are HMO’s or have an HMO option.

POS programs do allow you to see out of network doctors but you pay more money to do so. Because of this, it’s better to have in-network doctors to manage costs, but if you need to see a particular specialist who happens not to be in-network, you can do so at a higher cost. The main thing is that POS programs often require your PCP to refer you to any additional treatment, so if they don’t write the referral, you can’t see a specialist.

If you are on Medicare or a PPO plan, you aren’t required to have a designated PCP, but you still want to have somebody that you usually go to, and somebody to do a wellness check with you every year.

Again, seeing somebody out of network is at least more expensive. As a Medicare patient, many doctors will accept my insurance, so I don’t need to worry too much about going out of network(but I still check prior to seeing a new doctor)

With PPO plans, your PCP is a useful guide and a professional to help you determine what specialists you may want to see, but you can disagree with them, and you can choose to go to a specialist without needing their permission or support.

The best way to select a Primary Care Physician(PCP) is from a recommendation from someone you trust

The first thing to recognize is that ‘PCP’ isn’t a title or a certified position, and there are several different types of doctors that can serve as your PCP. Family doctors, internists, geriatricians, pediatricians, and doctors of osteopathy all can be primary care physicians.

You need to find the right one for you. Children generally are seeing family doctors or pediatricians, while adults have a wider range. The precise specialty of your doctor is less important than their availability and your trust in them.

Your best bet in finding a good PCP is to talk to people you know and trust about who they see, especially if they have a similar attitude towards doctors and treatment as you do.

Talking to friends about doctors is often the best way to find the right one!

With all the complexities of our current healthcare system, though, it is possible that no recommendations line up with doctors available to you, or that the recommendations you receive are for doctors you’ve already rejected for whatever reason.

While this type of recommendation is the most reliable, sometimes you just need to try to do the research on your own.

In my case, I’m in that situation. My current doctor(an internist) is okay, but I would prefer to see somebody who is geographically convenient(my current doctor is about a half hour’s drive south, which isn’t huge, but it would be nice to have somebody closer), and somebody who would dig into my information a little more(my wellness exams don’t get followup and we don’t discuss my blood test results).

So I’ve resolved to look for somebody who is a better fit for me. The reason that I am seeing this doctor, though, is that he was part of the practice that I’ve participated in my entire adult life and he treats most of my adult family members.

I don’t have a lot of social connections in my area, so while I have multiple friends who could tell me about doctors in New York City, that’s not at all helpful for me.

So, I’m doing a cold search. and already it’s frustrating. Let’s keep exploring how to do it though, because I do want to find a better fit for me, and I’m sure you do as well!

Step 1: Learn what your options are

So, this goes back to your insurance. Since you want to feel comfortable contacting your doctor whenever you need to, your best bet is to see somebody who is inside your insurance’s network.

Your insurance company should provide you with information(usually through a website) on what doctors they work with. It’s often in the form of a search feature, and the quality of these searches varies. What you generally want to do though, is look for doctors in your area.

it often feels safer to see a doctor who shares aspects of your identity

You may want to specify a subspecialty that you’d prefer to work with(for example, I know that my OB-gyn is a DO and I like her mindset, so I started my search focusing on female DO’s(I have a slight preference for doctors who share my gender, but I definitely have some great male doctors).)

Speaking of gender preference – think about what your preferences are. You may want a doctor who shares your identity, or at least some aspect of it. The more diverse your identity, the harder it may be to find a doctor who shares many or all aspects, but think about what is most important for you, as well as focusing on finding offices that are more open-minded and accepting of your identity.

For me, my top priority is a doctor who isn’t upset by my movement symptoms.

I generally prefer female doctors but am much more concerned about their empathy than their gender. Not only have I had great doctors who happen to be male, but I’ve also had a terrible experience with a female doctor.

I also want to make sure I feel comfortable talking to my doctor about my sexual health when appropriate(that mostly comes up with my obgyn), so it’s important to me that they can accept that I’m bisexual and may have multiple partners.

Most of this, I can’t tell until I meet the doctor, but by focusing on ones with positive ratings and compliments on their listening skills, I’m more apt to be on the right track.

You can make a list for yourself, or use some form of ‘compare’ feature, whatever works best for you.

Honestly, I’ve pretty much picked one or two people I thought might work, and then dug into them more, but the important thing is that you select at least one person who you think may work and research them. If possible note down or otherwise save information about your top few options, so you can go back as needed. This process often takes a few rounds.

Step 2: make sure they fit your needs

There are a few things to check right away. The easiest one is hospital privileges, as those are usually listed on their information, and you generally know your hospital preferences.

Visiting privileges means that they can more easily get you admitted to the hospital and that once you are in the hospital, they can more easily check in with you, and often have better access to and knowledge of the doctors there.

It isn’t essential, but it’s comforting to know that if you have an emergency, your doctor can see you while you are in the hospital, and may be able to help you if you have problems there.

In my case, the nearest hospital to me is called Bayshore, but it doesn’t have a good reputation. Slightly further from me, but still a reasonably short trip(around 20 minutes rather than 10), is a hospital with a much better reputation, Riverview, that would be my preferred hospital.

Generally, the times I have gone to hospitals for outpatient procedures I’ve gone to Monmouth Medical(whose reputation is similar to Riverview’s), which is even further south(closer to a half-hour drive), but still closer than any hospital would be for people in more rural areas.

So, when I look at doctors, my ideal one has visiting privileges at Riverview, but Monmouth Medical is also fine. If they only have privileges as Bayshore, I’m leery because that’s not the hospital I want to end up in should an emergency occur, and I’d prefer to have the option of my PCP being able to support me.

When I’m looking at the list of doctors who sound interesting, those that only have privileges at Bayshore are removed or at least lower down on my list.

You also want to make sure that your PCP is convenient, which usually translates to ‘close to home’ This is the office you’re going to go to if you wake up sick or come down with something unpleasant, so it’s much better for you if the drive is short and easy. Most search features sort by distance(though that often doesn’t take roads into consideration), so it’s relatively easy to make sure that you’re looking close to home.

There’s comfort in seeing a doctor you know and trust while you are in the hospital.

Another thing to check is what their practice is like. Some doctors are solo practitioners, others are part of a larger practice and share office space and staff, and others may be directly affiliated with a larger medical community with multiple locations.

This is really a matter of personal preference since there are positives and negatives to each. Seeing a solo practitioner means that you absolutely know what you’re going to get each appointment, but it may be harder to get in during an urgent matter, and if that doctor is unavailable you don’t have a lot of other options.

On the other hand, larger practices may be less able to give you the personalized approach, but it’s likely possible to see somebody in the practice if you need care urgently. It may not be your PCP, but they will have access to your information and are somebody your PCP has chosen to work with.

The larger the practice, the more potential options you have if you like the space, but find the doctor disappointing, but if things aren’t well-run, there’s also a higher risk of miscommunications about the details of your appointment.

Personally, I have pretty much always gone to smaller practices.

Initially, I went to an office with about 5 doctors. My primary physician retired, so I picked up with his colleague, who I had known for years(he was who I saw if I was sick and my primary wasn’t available that day), but hadn’t felt as close to.

He’s since moved to a different practice which is similarly sized, and I moved with him because he’s not bad and I didn’t have the spoons to search for a replacement then.

I have seen the nurse practitioner and another doctor at his office, but while I really like the nurse practitioner, I frightened the other doctor with my symptoms(and her anxiety then made them worse).

The last time I saw the nurse practitioner, she took pains to point out that she’s not my primary physician, which felt a little awkward, especially since I hadn’t actively tried to set extra appointments with her.

I decided that it’s time to look elsewhere.

I still want to participate in a small practice because I do like the potential for options and the likelihood that I will see somebody the day I need to be seen.

Step 3: see what other patients think about them

Many sites will share ratings and stories by patients about their experiences with their doctors.

Many insurance providers will do this, as well as independent programs like Healthgrades. If you find one or two you like, start there and look up the doctors you are interested in.

One easy way to expose yourself to their information without being pushed onto any particular platform is to do a general search for the doctor’s name. Each site that reviews doctors does ask slightly different questions, and skews towards slightly different populations – so you do want to see a variety of reviews.

Look carefully at not just the score, but how many people reviewed the doctor. The fewer reviews, the less reliable the information, and the more important it is to look at any comments made.

For the most part, people share their extreme experiences, so exceptionally good treatment or exceptionally bad are much more likely to get a review than an average or adequate experience.

Expect the scores to tend towards ones and fives rather than the middle numbers. If they have a lot of ones, you likely do not want to see them, but if there are a lot of reviews a couple of negative ones may be one-off negative experiences for reasons not always in the doctor’s control.

You want to look into your options so you select the best possible doctor for you!

Take a look at the reviews and ratings, focus on what you value most in a doctor.

For example, because FND is a strange condition that few doctors understand, I don’t look for a doctor with prior experience in FND(that’s my neurologist’s job), but I do focus in on finding doctors with positive ratings for listening to their patients, being compassionate and understanding, digging into mysterious symptoms, and things like that.

I’m looking for a doctor who listens well and who will respect my judgment if I tell them that a particular symptom is or isn’t FND-related. I may be willing, therefore, to go to a doctor whose patients complain about a long wait when the praise involves focused attention and the doctor being willing to take the time to really understand what’s happening.

I know that much of this will only be determined once I see the doctor, but I at least can cut out the ones that are less likely to work, and narrow down my pool of potential PCP’s to likely candidates.

Some of these review sites will comment on if the doctor has ever been through a malpractice suit or had other legal issues. If they have, be leery, but the fact that they don’t have those marks against them doesn’t guarantee that they are a good doctor.

If you do not see information on that and want to check yourself, you can do so by visiting your state’s medical licensing site and look up the doctor(s) you are interested in. Be aware that that information doesn’t cross state lines though so you cannot know if they had problems in another state from this information.

If you like what you read, and you’ve checked out a few different sites and found them reasonably consistent, you can feel confident that that particular doctor is liked and trusted by a good percentage of their patients, and hasn’t been involved in too many nightmares for patients. These are your good potential doctors.

Step 4: call their office

At this point, there really isn’t much more you can do through online research. Your insurance company has told you they work with that doctor, you know that that doctor has visiting privileges at your preferred hospital, you are aware of any legal issues their practice has faced, and you’ve seen what the publicly shared opinion is on this doctor.

Now, you need to call their office. You need to check on a couple of things when you call, though.

Your first question needs to be if they are taking new patients. Some doctors don’t – once they have their practice pretty full of regular patients, they don’t take any more because they want to keep their services manageable. This was the first response I received when I looked into the doctor I was most interested in.

It was unfortunate for me at the moment, but it is a sign that they are likely a responsible professional, and they may be worth revisiting if they start taking new patients again. If I don’t find a great doctor quickly, I may call her office again. In the meantime, I needed to restart the process with a different doctor.

The second important thing to ask, if they are taking new patients, is to confirm with the office that they will work with your insurance.

Every once in a while, doctors change up what providers they work with, or some rule changes, and you can’t be positive that it hasn’t changed until you ask. So, just double-check with them before scheduling your appointment.

Call to make your appointment once you feel relatively sure the doctor’s a good match for you

While you are on the phone with them, think about how the phone staff made you feel, and how easy it was to communicate with that office.

For example, did you get through on your first call? If you didn’t, did they get back to you? How long did you have to wait?

If your interactions with them felt alright and communication was relatively easy, then you may have a winner.

If scheduling the appointment was a challenge, that’s a bit of a mark against the doctor, though it still may be worth going, especially if that doctor is part of a larger medical group, and may not have full control over who they hire.

After having a disappointing phone call, I had to go back to the drawing board, and decided that I valued having a female doctor over having a DO, so I’m looking at female internists.

Today, I managed to get an appointment with a new doctor who I think sounds great. Unfortunately, I have a long wait to see her(as opposed to the nurse practitioners or her colleague in that office), so I can take apart the details of my evaluation and experience with that doctor in late June when I finally see her.

Because I am not in an urgent situation and still have access to the office I was attending, I am alright with the wait.

If I hadn’t been, I could have gone in and seen one of the others in her office sooner, or I could have kept looking.

I generally feel like having a bit of a wait for a wellness-type appointment is pretty normal(over a month is on the high end, but I wouldn’t expect to be scheduled the same week), and again, I could have seen another practitioner in that office within a day or so if it had been urgent.

Step 5: Evaluate the doctor at the appointment

I already have a post written about evaluating doctors, focusing on determining if the doctor you are currently seeing is worth sticking with. That post covers the main points, starting with phone interactions when scheduling an appointment, and going through your doctor’s follow-up care(or lack therof).

The only thing I want to add in here is that at your initial appointment, they do need to take your history and you may have some extra time to get to know them a bit.

Focus on how thorough or probing they are when you share your history – do they look bored? (not a great sign), do they ask you extra questions? (good sign if done politely)

When they are done, did you feel listened to, understood, or are you feeling discombobulated and frustrated?

Consider if they treated you respectfully or seemed judgemental. Did they give you time to answer or did they brush off what you said?

It’s especially important to make sure that your doctor accepts your identity

Your doctor should end up knowing a lot of intimate details about you, and you want to feel comfortable sharing information with them.

This is especially important if you are part of any minority group(not just racial, but orientation or identity(LGBT for example), religion(especially if it interacts with your health), and more).

Mention the aspects you are concerned about(especially important is any conditions you have, but anything that may affect you medically is important), and watch their response.

If they dismiss or repeatedly ignore some aspect of what you told them, you may want to look elsewhere. For example, while many doctors don’t know about FND, there are some out there who interpret ‘psychogenic'(without biological origin) as meaning ‘made up’.

There are some who don’t understand or recognize mental health issues(these are getting fewer, and many PCP’s may be willing to prescribe antidepressants and other psychological medications).

So part of your job is to make sure that if you have a condition that could be misinterpreted that your doctor won’t make that mistake.

A large percentage of doctors are white, straight, cis(as opposed to trans)gendered men. So if you are not in that category, you may want to look for a doctor that better matches your identity or for a more respectful and empathetic professional than average.

What’s important is that your doctor is willing to take your identity and needs into consideration when treating and advising you.

Step 6: decide if you need to try again

So, you’ve seen the new doctor, and you have a sense of who they are and how their office works.

Now you need to decide if you want to keep seeing them.

If the visit went well, and you felt respected and listened to, then awesome, you probably found your new PCP.

If your insurance uses your PCP as a gatekeeper, notify them of your change(in some cases you may need to do so in advance), and usually, the change is acknowledged within a month.

If your insurance doesn’t require a PCP, then you don’t need to notify them, and you can just enjoy the peace of mind that you found the right doctor for you.

If, on the other hand, you feel uncertain about the doctor, you likely want to check out another candidate(repeat these steps on a new person).

If at first you don’t succeed, try again

It may feel really frustrating to start over again, but you will feel much better if you trust and are comfortable with your doctor, so it is worth doing.

If you had an exceptionally bad experience with the doctor, you may want to leave reviews on them at one or more of the sites you had discovered in your search, and restart your search for a great PCP for you!

This search has the potential to be very frustrating, but it is really important to be able to trust your doctor and know that your doctor listens to and respects you.

Conclusion: selecting your primary care physician

It is really important to see a doctor you trust and can communicate well with. Many people seeing mediocre or bad doctors end up being bullied into inappropriate treatments, have their symptoms ignored or written off, or end up not sharing vital information with their doctor, leading to unnecessary problems.

You don’t want to be any of those people, stuck in regret after the fact.

So, instead, make sure you know what you need from your PCP and find the best one for you.

By pursuing the right PCP, you are practicing radical self-care, putting yourself in the best and safest medical hands, and making sure that you have the best chance at a good life!

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22 Comments

  1. It’s so important to find a good PCP you can tryst and direct you to the right specialist for care. You’ve got some great tips here, i have had to wait months for specialists and if I have to wait too long, sometimes it’s easier to go to a pcp. After a year long skin issue on my face, the pcp was the one determined to get down to it and revealed a peanut allergy I never would have guessed I had! Thanks for sharing your through information with us!

    1. Tanya,
      Agreed! Long waits are absolutely unhelpful. I’m so glad that your PCP was able to help so much with determining the allergy – it feels so good when you only need to visit one doctor to find a good solution instead of two or three! I’m all about creating a network of doctors I trust, and so often a really good PCP is able to point you towards the better specialists!

  2. Great guidance! So much good information here. I have written a bit about finding a primary care doc, too, but I really lucked out – about a year into my illness, after seeing dozens of doctors who ran hundreds of tests with not one who could tell me what was wrong, I just stumbled onto a new PCP – a family doctor very close to us who was accepting new patients – and she knew I had ME/CFS in that first meeting. She not only diagnosed me after a frustrating year, but she also knew the basics of how to treat it (which I later found out was rare!).

    I always tell people with ME/CFS looking for a primary doctor that it’s important to look for someone who is open-minded and willing to listen & learn. You don’t need an expert as your PCP (and you probably won’t find an expert PCP in ME/CFS) but someone willing to listen to you and learn alongside you and try new things. I suppose that;’s not quite as critical in better-understood chronic illnesses, but I think those characteristics are always helpful!

    Sue

    Living with ME/CFS

    1. Sue, thanks so much! So glad your PCP was able to diagnose you, and is so knowledgeable. There are a lot of neurologists who still don’t recognize FND, even though it has ‘neurological’ in the name!

      I totally agree that having an open-minded doctor who is willing to learn is vital. I tend to see the doctor-patient relationship as a partnership, where I (the patient) am an expert in my own body, and the doctor advises me on useful ways to manage and improve my health!
      Honestly, I think that is important with any chronic illness, but the degree of knowledge you expect from the doctor is what varies!

      Take care Sue!

      Alison

  3. I appreciated that you said that you should choose a doctor based off of your insurance coverage. My mom is needing to find a new doctor who is close to our home because she recently moved in with my wife and I, and it would be important for her to be able to afford who she would hire. If we decide to find a doctor, I will be sure to look for one who is covered by her insurance.

    1. Glenn – thank you! She will need somebody, even if it’s just a primary care physician(https://thrivingwhiledisabled.com/selecting-a-primary-care-physician). It’s important to get those annual checkups so that any potential problems are recognized quickly enough to correct them before they cause larger health issues! Her insurance should have an associated list of doctors for you to search through, and most of them can be set to sort by distance from your home. Sticking with your insurance provider helps you make sure that you actually go to the doctor, because if the copays or deductible are restrictively high, that’s another level of resistance to fight through! My partner had to switch over to Medicaid a few months ago, and I’m very grateful that his PCP accepts it, so we aren’t starting the physician search from scratch! We did have to find him all new specialists, but at least he has somebody to hold onto his medical information and to work with while we searched for the right specialists. I’d also recommend making sure that her medical records get transferred to the new physician once you find them. I know that my medical history is incomplete because I forgot to do so when I was younger. I mainly lost my pediatric records s the only long-term issue in my case was that I didn’t have records of my immunizations when I went to graduate school and needed some additional testing to prove I had received my MMR(measles, mumps, rubella) shot, but it’s always better to have and not need than to need and not have! I wish you all the best with adjusting to her move!

  4. I love the suggestion that you gave to check if a doctor will suit your needs before you hire them. My wife and I have been wanting to find a doctor to help our family when we will need them. When we look for one, I will be sure to check if they will suit our needs.

  5. I loved the tip that you gave to choose a physician who will properly fit your needs. My wife and I want to find a new doctor to help our family when we will need them, and it would be important for us to know that we could find the right one for our needs. I will be sure to check to make sure that they will fit our needs before we choose who to hire, so we could get the right one.

  6. Very helpful and thorough steps to take and things to think about when looking for your primary care health provider (who then is your main go to for most of your needs and the one who refers you to everything else).

  7. It was really helpful when you said to get a recommendation from someone you trust when searching for a doctor. My husband and I are wanting to look into finding a family doctor for our whole entire family to see, and we want to make sure that we can find the right one for us. We’ll make sure to keep these tips in mind as we search for a family doctor to see.

    1. I really hope this helped! It’s so important to find a doctor you trust. Don’t get discouraged as it may take a few tries, but this should help you reduce the number of attempts it takes and weed out the worst options!

  8. It was mentioned that a good way to find the right family doctor is to ask people around you that you trust. My sister recently moved across country for work and needs to find a new doctor. I wonder if she would feel comfortable asking any of her coworkers what doctor they go see.

    1. It may feel too intimate to ask- but if she does talk to coworkers about doctors, she has the added benefit of the doctor being more likely to be on her plan(assuming her employer provides the insurance) than talking to friends. I hope she can find her best options!

  9. You made a good point when you said I should check the reviews and rating of the primary care physician’s past patients to ensure they provide quality service. My mom recently moved into the city I’m living in. She’s looking for a primary care physician, so I’ll share this article with her to use as a guide. Thanks.

  10. My sister just moved and is looking for a new doctor. She’s said that she wants to meet with a few of them in person before she decided on a specific one to continue seeing. I liked how you recommended calling their office to see if the doctor you’re looking for is taking new patients. It could help narrow down her search and make it easier for her in the long run.

    1. Absolutely! She should reach out to each doctor she thinks looks worth investigating and make that call – during that call, she can double-check if they accept her insurance and are seeing new patients. It’ll help her reduce how many doctors she’ll need to further vet, and also give her a sense of how long it takes each of those offices to schedule an initial visit. Being able to be seen immediately isn’t always a great sign, as it may mean not many folks are seeing that doctor(it also may just be luck), but a wait of more than a couple of months also doesn’t bode particularly well.

      I hope she’s able to find the right doctor for her!

  11. It’s good to know that you should find a doctor that can understand your gender identity. I am hoping to get a new doctor because I didn’t like my old one. I would love to find one that makes me feel comfortable.

    1. You always should be able to feel relatively comfortable with your doctor. Being afraid to share possibly embarrassing information may lead to missed symptoms or diagnoses.

      Bias from your doctor(real or feared) can absolutely impact your treatment and diagnosis. If you get the sense that your doctor doesn’t respect or understand your identity, it’s well worth investigating your options and seeing if you can find somebody who does. It’s often worth the effort!!

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