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