Doctor visits •Primary care provider:  $0 copay 
•Specialist:  $25 copay Your primary care provider (PCP) will work with you to coordinate the care you need with specialists or certain other 
providers in the network. This is called a"referral." Certain procedures, services and drugs may need advance 
approval from your plan. This is called a"prior authorization" or "preauthorization." Please contact your PCP or refer