Appropriate Care Decision Guide
| NC HealthSmart (Get the Care You Need) |
| Appropriate Care Decision Guide |
Primary Care Provider (PCP)
When to Use: Your Primary Care Provider (PCP) is a central point for the regular medical services you need and treatment for a variety of mild to moderate injuries, illnesses, and conditions. Having an established PCP helps to ensure that you will have a medical professional that you can trust to help you make decisions about your health care. PCPs provide treatment for:
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Cold, flu, fever*, earache, sore throat, migraine, nausea, vomiting, mild dehydration, diarrhea, indigestion, mild allergies, infections, and rashes
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Minor injuries: pain, burns, sprains, strains, cuts, and back pain
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Regular physicals, prescription refills, vaccinations, and screenings
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Management of chronic conditions, including high blood pressure, diabetes, arthritis, chronic obstructive pulmonary disease (COPD), asthma, anxiety, and depression
Convienient Care Clinics can be used if you need care for a non-urgent mild to moderate injury or illness, but are unable to get a same-day appointment with your PCP.
*Seek emergency care for fevers above ≥ 104°F. This may vary for children, so please speak with your pediatrician.
2018 In-Network Primary Care Provider Costs
| Plan | In-Network Provider Cost |
| 70/30 | $40/visit |
| 80/20 | $25/vist;$10 if you visit your selected PCP (shown on your ID card) |
NC HealthSmart (Get the Care You Need) Appropriate Care Decision Guide
Plan In-Network Provider Cost 70/30$40/visit 80/20 $25/vist;$10 if you visit your selected PCP (shown on your ID card)