A Medical Group or IPA is a network of physicians. At PMGSJ we have over 550 primary care and specialist physicians, as well as ancillary care providers. The network contracts with your health plan to provide your care, and is assigned to you based on which Primary Care Physician you have.
You must seek all of your non-emergency care within your medical group , (for instance, the OB/Gyn or Radiologist you see must be within your group), so it is important to know which medical group each family member has been assigned. Check your family’s ID cards.
Your medical group manages your provider network, verifies the credentials of your physicians and continues to review their quality performance, sets up the processes for referral and authorization, and does the verification of benefits and appropriateness of care when you are referred to a specialist or for a procedure.
It is our goal to keep your medical care as uncomplicated as possible, so if you have questions or need some assistance, call us first.