This term means that a policy holder must have only one primary care physician. This physician is the only one that will be allowed to provide referrals to the policy holder to other physicians or care specialists in the network. May also be referred to as Closed Panel or Gatekeeper Model.
a type of health plan in which covered persons are required to select a primary care physician from the plan's participating providers. The patient is required to see the selected primary care physician for care and referrals. See Open Access.
An insurance situation in which covered insureds must select one primary care physician to provide their initial services. That primary care physician then becomes the only physician who may refer the insured to other health care providers within the plan. This system may also be referred to as a "closed panel" or a "gatekeeper model."
Also known as a gatekeeper model or closed panel. A plan that stipulates the insured will be reimbursed for initial visits to only one doctor, and that doctor must be the one to recommend more specialized care.