Finding a primary care provider (PCP) is one of the most important healthcare decisions you can make. Identifying a PCP is valuable for establishing continuity of care in all ages and stages of life, giving you a central point and specific provider to help you on your health journey. Read on for more information about the role of primary care providers and tips on how to select a PCP that is the right fit for you. 

What is a Primary Care Provider? 

Primary care providers are healthcare professionals who serve as the first point of contact for a person seeking medical care. A PCP is responsible for managing overall health, diagnosing and treating common illnesses and conditions, managing chronic conditions, offering preventative care, health advice and education, coordinating specialized care when needed, and much more. PCPs also help monitor long-term health and are ultimately responsible for coordinating a patient’s care across the entire healthcare system.  

PCPs can be doctors, nurse practitioners, or physician assistants. They specialize in general areas which include, but are not limited to, the following: 

• Family medicine: Care for individuals of all ages. 

• Internal medicine: Care primarily for adults. 

• Pediatrics: Care for children. 

• Geriatrics: Care for older adults. 

Why Should I Find a PCP? 

Dr. Daniel Hake, physician at our Mount Pleasant Clinic, and Maureen Heitmeier, ARNP at Family Medicine in Fort Madison, both specialize in family medicine. As PCPs they can attest to the importance of patients establishing care with a PCP.  

“There are several reasons why it’s important to establish care with a primary care provider. When your healthcare provider really knows you, that changes the whole dynamic of care. We know your health history and many times we’ve been through that journey with you,” explained Dr. Hake. “Research shows how continuity of care is so much better for health outcomes in many different diseases and that’s what a PCP offers patients.”   

Maureen also emphasizes the value of this PCP – patient relationship. “Creating a relationship with a primary care provider is more than going to the doctor when you are sick or need medication. Having someone you can trust to talk about your health, and ensure your health is optimized to its fullest potential, is a privilege that should be cherished. A PCP knows your past health situations, can meet you in your present, and can create plans to obtain your health goals for the future. Also, illness and many comorbidities that can arise can be prevented or minimized with routine visits and preventative testing with your PCP.”  

Finding the Right PCP 

It’s important to find a PCP that is the right fit for you. As a partner in your healthcare journey, your PCP can directly affect your health, comfort, and overall experience with healthcare in all stages of life. You need to feel comfortable discussing personal health concerns, so a good relationship built on trust allows for this open communication. This helps your provider make more accurate diagnoses and offer treatment plans that work best for you.  

“There are a lot of qualities that make up each individual primary care provider and it is not a one size fits all mentality. Thinking about how one envisions their health and wellness journey along with what is important to them is individualized. Feeling heard and valued in the relationship is particularly important,” Maureen said.  

“As a primary care provider, understanding the patient is the most valuable part of my work. Listening to what is bothering their daily life allows me to be the most effective provider for that patient. Another valuable aspect of my work is patient education. I want to ensure that my patients understand and prioritize their health, which is key to success in their journey.” 

 Finding a provider whose approach aligns with your values can ensure you’re on the same page about your health goals. If you're able to communicate easily with your PCP, they can more effectively collaborate with you on managing your health. This is especially true if you have chronic conditions or need referrals to specialists. Simply put, the right fit can make your healthcare experience much more positive and effective, ensuring you're getting the best care possible for your unique needs. 

"As a patient, it’s crucial to identify your health goals and understand how your primary care provider can support you in achieving them. I tailor my approach to meet each patient where they are and where they want to be. I focus on empowering them to make informed decisions by ensuring they understand all their options,” stated Dr. Hake. “My practice is based on evidence-based medicine, and I place a strong emphasis on accessibility. In our office, providing timely appointments for established patients is a top priority. Above all, there’s no judgment – just a genuine passion for preventative care." 

How to Choose a Provider 

Choosing a PCP is an important decision for your health and well-being. Here are some steps to help guide you through the process. 

1. Assess Your Healthcare Needs  

By considering the following factors, you can find a PCP who meets your medical needs and offers a positive, supportive experience. 

• Consider your health history, any specific conditions, and what kind of care you need. If you have specific health conditions, ensure the PCP has experience managing them. The provider you choose should offer services and have experience that align with your health needs, such as preventative care based on your age, gender, and medical history, or chronic disease management. Refer to section #3, “Research Provider Options,” for tips on locating specific provider information. 

• Choose a provider who respects and understands your cultural and personal beliefs, especially if they affect healthcare decisions. 

2. Check Your Insurance Coverage 

Before establishing care with a new PCP, you should review your health insurance plan and research the following regarding insurance coverage: 

• In-network status: Confirm that the new PCP is in-network with your insurance plan to avoid higher out-of-pocket costs. You can typically find this on your insurance provider's website or by calling them directly. 

• Plan details: Ensure that your insurance plan covers the services the PCP provides, including routine check-ups, exams, screenings, procedures, and any necessary tests. 

• Referral and pre-authorizations: Check if your insurance plan requires referrals from a PCP or pre-authorization for certain treatments or specialists.  

• Copayments and deductibles: Understand any copayments or deductibles you may need to pay when seeing the provider. 

• Out-of-pocket costs: Review your plan's out-of-pocket maximum to estimate any potential additional costs you might incur throughout the year. 

• Prescription coverage: Verify whether the prescriptions your new PCP may prescribe are covered by your insurance plan and what pharmacies are in-network. 

• Telemedicine options: If you're interested in telehealth, check whether your insurance covers virtual visits with the new PCP. 

• Eligibility and enrollment: Make sure your insurance is active and that your new PCP is accepting new patients under your current insurance plan. 

• In-network specialists: If you need a specialist, check if the doctor can refer you to an in-network one. 

By researching these factors ahead of time, you can avoid surprises when seeking care from a new PCP and ensure your visits are covered appropriately. 

3. Research Provider Options 

• Use your insurance provider’s directory or online tools to find PCPs in your area who are covered by your insurance plan. A valuable resource to help find a PCP is the Great River Health website that offers a provider search tool to view our medical staff. Click Find a Provider Near You | Great River Health to see a list of PCPs accepting new patients. This list of providers allows you to select a specific provider and see their specialties, education, and their office location. Many profiles also feature a video of the provider. 

• Consider the type of provider you need, for example family medicine, internal medicine, or pediatrics depending on your circumstances. 

• Research the provider’s credentials, training, and experience. Check if they are board-certified and have any areas of specialization that might be important for your care. 

• Consider the PCP's experience and qualifications, particularly in areas relevant to your health needs (e.g., managing chronic conditions, preventative care). 

• It's also important to research hospitals and clinics to ensure they are covered by your insurance and can meet your healthcare needs. 

4. Look for Reviews and Recommendations 

Personal referrals from trusted individuals can provide valuable insights into a PCPs bedside manner and overall quality of care. Ask for recommendations from family, friends, or colleagues who have had positive experiences with their PCPs. While family and friends' suggestions can be helpful, finding the right PCP is a personal decision, as everyone's healthcare needs differ. It's important to choose the provider that's best for you. You can also read online reviews to gauge patient satisfaction, communication style, and professionalism, but be aware of which online reviews are credible sources of information. 

5. Consider Location and Availability 

• Choose a PCP who is conveniently located and has office hours that fit your schedule, especially if you need evening or weekend availability. 

• Check if the provider offers virtual visits or other convenient care options. 

• If you have a specific health condition that may require specialist care, consider whether the PCP is well connected to relevant specialists and can provide referrals if needed. 

6. Consider the Provider’s Communication Style 

A good relationship with your PCP is important for your comfort and effective communication. Choose someone who makes you feel comfortable, listens to your concerns, and explains things clearly. You should feel like you can ask questions and engage in an open, honest conversation about your health. Ensure the PCP speaks your preferred language, or that the office offers interpretation services if needed. 

7. Contact the Office for Information 

• Call the office to inquire about availability, office policies, and to confirm they’re accepting new patients. Ask about appointment scheduling, wait times, and if they offer after-hours emergency care. Some PCPs also have on-site labs or imaging services, which can make your care more convenient. 

• In your first appointment, come prepared with questions, bring notes about your health concerns, and assess if the PCPs approach aligns with your preferences and needs. Pay attention to how they interact with you, their willingness to answer questions, and the office environment. The office staff should be helpful, responsive, and polite. The overall environment should be clean and organized, creating a welcoming atmosphere. 

• Find out if the provider offers comprehensive care and whether they have partnerships with specialists or hospitals you may need. 

8. Make Your Decision 

After your consultation, reflect on your experience. Did the provider address your needs? Did you feel comfortable? Once you’ve found a PCP that feels like a good fit, schedule your next appointment and establish a relationship. 

Choosing a primary care provider is an ongoing process, and it’s okay to switch providers if you feel your needs are not being met. Your primary care provider is an important part of your health journey, so it’s crucial to choose someone who makes you feel heard and well cared for.  

Resources 

To see a list of Great River Health PCPs accepting new patients, click Find a Provider Near You | Great River Health. 

Following is a list of our primary care clinics and contact information: 

Family Medicine Fort Madison 
5409 Avenue O, Suite 101 
Fort Madison, IA 52627 
319-376-2134 

Family Medicine West Burlington 
1201 W. Agency Rd. 
West Burlington, IA 52655 
319-754-4242 

Family Medicine, Mercy 
1225 S. Gear Ave. 
Mercy Plaza, Suite 159 
West Burlington, IA 52655  
Phone:319-768-1570 

Internal Medicine Fort Madison 
5409 Avenue O 
Suite 103 
Fort Madison, IA 52627 
319-376-2725 

Internal Medicine West Burlington 
1223 S. Gear Ave. 
Eastman Plaza, Suite 108 
West Burlington, IA 52655 
319-768-3200 

Pediatrics Fort Madison 
5409 Avenue O 
Suite 121 
Fort Madison, IA 52627 

Keokuk Clinic 
3285 Main St. 
Keokuk, IA 52632 
319-524-6274 

Mount Pleasant Clinic 
407 S. White St., Suite 103 
Mount Pleasant, IA 52641 
319-385-6770 

New London Clinic 
111 W. Washington St. 
New London, IA 52645 
319-367-2241 

Wapello Clinic 
220 Mulberry St., Suite A 
Wapello, IA 52653 
319-768-4090 

Wayland Clinic 
227 W. Main St., Suite 1 
Wayland, IA 52654 
319-256-7100 

Winfield Clinic 
110 W. Pine St. 
Winfield, IA 52659 
319-257-6211