Submitted by jandrade5 on Oct. 10, 2013
- Call your medical plan’s customer service number to request the change. You can find the number on your medical ID card.
- Ask the insurance representative when the PCP change will be effective. If you call the medical plan before the 15th of a month, the change will be effective the first of the next month. If the change is made after the 15th, it will be effective the first of the next month.
- Use your medical plan’s website to search for a PCP. Your PCP must be located within a 30-mile radius of your primary residence or workplace and in your medical plan’s service area.
- Each family member may choose a different PCP from the doctors who are contracted with your medical plan.
When you pick your PCP you are also choosing a medical group (e.g. Mercy Medical Center). HMO physicians are affiliated with a medical group of specialists and hospitals that you may use for non-emergency care. The PCP you select will oversee your care and authorize visits to specialists in the medical group.