A gynecologist is a licensed physician specializing in the diagnosis and treatment of the diseases of women's reproductive systems. You may choose to have a Plan gynecologist provide your annual gynecological examination. Some gynecologists have been approved to act as PCPs and will be listed as such in the Plan's Primary Care Provider Directory. The card identifies you as a Plan member and describes your benefits. Always present your card when you seek medical care or benefits.
Infertility is defined as the inability to become pregnant after a year of unprotected intercourse.
An internist is a licensed primary care provider who is trained to diagnose and provide health care services to adults and teens, including routine gynecological care and the annual gynecological exam for women. Medically necessary refers to treatment which, as determined by the Plan, is required to treat or care for symptoms of an illness or injury or to diagnose an illness or condition that is harmful to life or health. The fact that services are provided, prescribed or approved by a physician or provider does not in and of itself mean that the services are medically necessary. Members are the eligible individuals covered by Providence Health Plan. A nurse practitioner is a licensed nurse who has a Master's Degree in nursing and advanced training which allows him or her to provide primary care.