Provider Directory 

PCP Roster April 2019

Specialist Roster April 2019

Primary Care Physicians

Your plan requires that you choose a Primary Care Physician. That physician will be
responsible for providing and coordinating your health care. Please click link for
physician list. If you wish to change your Primary Care Physician, please contact
Swedish Covenant Physician Partners at (773-271-0880) and we will make
the necessary adjustment and/or direct you appropriately.

Women’s Principal Health Care Provider

A Women’s Principal Health Care Provider (WPHCP) is an obstetrician/gynecologist
(OB/GYNE) who has been selected to be directly accessible for treating and coordinating
a female Member’s health care needs. Your WPHCP should coordinate care with your
Primary Care Physician. You may access this physician without a referral; however,
a referral is necessary for all services this physician recommends. Please make sure
the WPHCP you have selected is on the enclosed list. Please note that these OB/GYNE
providers do not take the place of your Primary Care Physician.

Specialists

Your PCP will coordinate your overall health care and determine the needs for
specialty care referrals for medically necessary services. You must obtain a written
or electronic referral from you PCP before obtaining care from another health care
provider. Such referrals include specialists and outpatient procedures provided by
Swedish Covenant Physician Partners providers. Failure to obtain a referral may
result in denial of payment. All referrals undergo a review process. If a referral is
denied, the reason for the denial, the alternative treatment, a telephone number
for questions and the mechanism for an appeal will be communicated to in writing.