Use this online directory to search for in-network providers. It is our intention to make this directory as current as possible by updating it regularly. However it is a good idea to always check with the provider to confirm network participation.

What is a PCP?
PCP stands for Primary Care Physician. A doctor who is trained to provide a basic, comprehensive, routine level of health care. These physicians are specifically trained to help patients maintain good health, to identify and effectively treat routine health problems, and to refer patients to the appropriate specialist if a more serious problem is identified. Learn more about PCP.

For a list of in-network PCPs at $20 copayment.

What is a specialist?
Providers whose practices are limited to treating a specific disease (e.g., oncologists who treat cancers), specific parts of the body (e.g., otolaryngologists who treat ear, nose and throat), or specific procedures (e.g., orthopedists who perform joint surgeries).

For a list of specialists at $35 copayment.

What is a Board Certified Provider?

Specialists are doctors who have chosen to focus their practice in one area of medicine. Specialists have advanced education, clinical training, and certification in a specific field.

A subspecialist is a doctor who is trained or certified as a specialist and then receives additional training in a specific area called a subspecialty. This training increases the doctor's depth of knowledge in that field of medicine.

A doctor becomes board certified by completing training in a specialty area and passing an examination. To be board certified, the doctor must:

• Complete the education required to get an MD (medical doctor) or DO (doctor of osteopathy) degree.
• Complete 3 to 7 years of training in a residency program in the specialty field.
• Pass a written test given by the specialty board. Many specialty boards also require doctors to pass an oral test.
• In most fields re-certification is required periodically.

Specialty boards certify that doctors have met certain standards. Certification is voluntary; not all specialists are certified. There are 24 specialty boards currently recognized by the American Board of Medical Specialties and the American Medical Association.

- adapted from WebMD.com

What is Urgent Care?
For all medical needs, your first call should be to your PCP. However, urgent care services are part of the university medical plans. Urgent care is different than emergency medical services. An urgent condition is not life threatening, but may cause serious medical problems if not promptly treated. Examples of conditions that require urgent care are injuries, fever, sudden onset of pain (abdominal pain, severe headache) and broken bones.

Plan members should still go to the emergency room for life-threatening medical emergencies or when urgent care sites are not open and medical care is needed. Urgent care is not intended for preventive or routine maintenance treatment such as school physicals, nor will these services be covered by university medical plans when performed at urgent care sites. The copayment for services at an urgent care site is $35 per visit for members of in-network medical plans (Prime Care Advantage, Prime Advantage Value and in-network providers of the Prime Advantage Plus). Members of out-of-network plans (Prime Advantage Plus out-of-network option, Independent Choice and Out-of-Area plans) will pay applicable deductibles and coinsurance.

For a list of urgent care facilities, click here