If you are planning to participate in Drake’s Health Plan during 2021, you must designate a Primary Care Provider (PCP) for yourself and all dependents enrolled in the Plan. Designating a PCP promotes the establishment of a long-term relationship with a health care provider who:
- understands your health needs
- maintains your medical records
- assists with a wide range of medical conditions, and
- refers you to other in-network providers when necessary
Each covered member may select a different PCP from Wellmark’s list of general or family practice physicians, internists and pediatricians. Female members who wish to designate an obstetrician or gynecologist as a co-care provider must contact Wellmark Customer Service at 800-362-2230.
To ensure your claims process correctly, you will need to designate a PCP before seeking care. If you do not select a PCP during the open enrollment period, you will still have access to coverage. However, if Wellmark receives a claim for preventive services without a PCP on file, the claim will pend and then be denied. You may add a PCP at any time; the designation will become effective the first of the month following the addition.
We have prepared a brief video showing you how to obtain the information necessary to designate your PCP in the Benefits Portal. If you have a current PCP, you may also visit wellmark.com/finder to obtain his/her enrollment identification number and organization name. Should you have questions about this process, please contact Wellmark Customer Service at 800-362-2230.
— Marlene Heuertz, Human Resources