Throughout the history of the Republic, efforts to deliver health services to large masses of people have been carried out with the family medicine model introduced by Act No. 5258 in the provision of primary health care. However, family physicians who are at the center of primary health care services due to both their medical and managerial duties, have important problems arising from the Act No. 5258. Some of these problems arise from the unconventional duties, powers and responsibilities assigned to a group of public servants performing the duty of medicine in primary care through the law and circulars. Another part is due to the questionable nature of the legal status of aforementioned physicians within the family medicine service. It is seen that this issue has intensified especially on physicians who were not public servants before, but who entered into service with family medicine service contracts. The reflection of the problems experienced in this field on the social security law is realized through the practices of the Social Security Institution regarding the social insurance status of physicians. As a matter of fact, the Institution evaluates the social insurance status of family physicians, who were not public officials before, as insurance within the scope of 4/I-a, with an interpretation of which the rationale is unclear in the relevant section of its Circular No. 2013/11. However, in the face of the explicit provision of the Law No. 5510, the insurance coverage of these people, who are employed on the basis of administrative service contracts, must be accepted within the scope of 4/I-c.