Fair Square Medicare Wordmark

Can I Change My Primary Care Provider with an Advantage Plan?

Cover image

By Daniel Petkevich

Aug 25, 2023

You've got questions. We've got answers.

Yes, you can typically change your Primary Care Physician (PCP) while on a Medicare Advantage plan, but you must follow specific rules and procedures. Medicare Advantage plans (AKA Part C) are offered by private insurance companies approved by Medicare. These plans often have networks of doctors and healthcare providers, and your choice of PCP may be limited within the plan's network.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Steps to change your PCP:

  1. Check Network Coverage: Ensure that the new PCP you're interested in switching to is in the network of your Medicare Advantage plan. If they are not in the network, you may have to choose a different doctor or consider other options.

  2. Contact Your Plan: Contact your Medicare Advantage plan's member services department (number on the back of your ID card). They can guide you through the process of changing your PCP. They may also be able to provide you with a list of available PCPs in your area.

  3. Submit the Change Request: Your Medicare Advantage plan will likely have a process to change your PCP. You may need to fill out a form, call, or use an online portal. Follow the instructions provided by your plan.

  4. Confirmation: Once your change request is complete, you should receive confirmation from your Medicare Advantage plan. Look for a letter in the mail or a new ID card with your updated PCP.

  5. Effective Date: Be aware of when the change in PCP will take effect. You must coordinate any upcoming appointments or ongoing care with this timing.

It's worth noting that the rules and processes can vary slightly depending on your Medicare Advantage plan. Always consult your plan's official documents or contact their member services department for the most accurate and up-to-date information. Additionally, if you're considering changing your PCP, it's a good idea to think about any ongoing medical treatments, prescriptions, or specialists you're seeing, as you'll want to ensure that your new PCP can coordinate your care effectively.

If you have any questions, please schedule a chat with us at

fairsquaremedicare.com

or call us at 1-888-454-2383. Our Medicare experts are here to help!

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Recommended Articles

A doctor with a clipboard consults a female patient with cancer

Does Medicare Cover Inqovi?

Jan 11, 2023

Physiotherapist showing workout record on exercise bike

Does Medicare Cover Exercise Physiology?

Jan 11, 2023

senior woman doing botox stock photo

Is Botox Covered by Medicare?

Jan 19, 2023

breast cancer awareness ribbon stock image

Does Medicare Cover Piqray?

Dec 2, 2022

Kidney stone stock image

Does Medicare Cover Kidney Stone Removal?

Nov 23, 2022

Caucasian nurse holding spine model against the patients backs. Clinic interior. stock photo

Does Medicare Cover SI Joint Fusion?

Nov 28, 2022

Cover image

Is Fair Square Medicare Legitimate?

Jul 27, 2023

Illustrated referential images of a hospital bill, coins, cash in a wallet, a calculator, and a magnifying glass

What Are Medicare Part B Excess Charges?

Jan 6, 2023

The feet of a person suffering from foot pain stock photo

Does Medicare Cover Cartiva Implants?

Nov 29, 2022

Close up top view of a woman showing a round-shaped Lipoma fatty tumor on an open palm stock photo

Does Medicare Cover Lipoma Removal?

Dec 8, 2022

Cover image

10 Top Medicare Supplement (Medigap) Companies for 2025

Jul 14, 2025

older man suffering from stomach pain due to IBS stock photo

Does Medicare Cover Xiafaxan?

Jan 19, 2023

Cover image

Fair Square Client Newsletter: AEP Edition

Oct 2, 2023

senior man with his glasses in his hand working in front of his laptop stock photo

Can I Change Medicare Advantage Plans Any Time? | Medicare Plans

Sep 19, 2022

Philadelphia skyline at sunset stock image

13 Best Ways for Seniors to Stay Active in Philadelphia

Mar 7, 2023

heart surgery stock image

How Much Does Open Heart Surgery Cost with Medicare?

Jan 27, 2023

Female physiotherapist helping elderly man in wheelchair do exercises with dumbbells at health center stock photo

What Does Medicare Cover for Stroke Patients?

Jan 20, 2023

bearded man holding his head in confusion looking at his laptop stock image

Why Is Medicare So Confusing?

Apr 19, 2023

More of our articles

14 Best Ways for Seniors to Stay Active in Washington, D.C.

2024 Fair Square NPS Report

Are Medicare Advantage Plans Bad?

Can I Change My Primary Care Provider with an Advantage Plan?

Can I Choose Marketplace Coverage Instead of Medicare?

Can I switch From Medicare Advantage to Medigap?

Can Medicare Help with the Cost of Tyrvaya?

Comparing All Medigap Plans | Chart Updated for 2025

Denied Coverage? What to Do When Your Carrier Says No

Do All Hospitals Accept Medicare Advantage Plans?

Do I Need Medicare If My Spouse Has Insurance?

Do Medicare Supplement Plans Cover Dental and Vision?

Does Medicare Cover Abortion Services?

Does Medicare Cover Air Purifiers?

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Boniva?

Does Medicare Cover Compounded Medications?

Does Medicare Cover Cosmetic Surgery?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Disposable Underwear?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hoarding Cleanup?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Hypnotherapy?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Jakafi?

Does Medicare Cover Krystexxa?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover Macular Degeneration?

Does Medicare Cover Ofev?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Penile Implant Surgery?

Does Medicare Cover SIBO Testing?

Does Medicare Cover Stair Lifts?

Does Medicare Cover the Urolift Procedure?

Does Medicare Cover Wart Removal?

Does Medicare Cover Zilretta?

Does Medicare Have Limitations on Hospital Stays?

Does Medicare Pay for Bunion Surgery?

Does Medicare pay for Opdivo?

Does Medicare Require a Referral for Audiology Exams?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Plan Include A Free Gym Membership?

Fair Square Bulletin: We're Revolutionizing Medicare

Finding the Best Dental Plans for Seniors

Health Savings Accounts (HSAs) and Medicare

How Do Medigap Premiums Vary?

How is Medicare Changing in 2025?

How Much Does a Pacemaker Cost with Medicare?

How Much Does Medicare Part A Cost in 2025?

How to Apply for Medicare?

How to Become a Medicare Agent

How to Choose a Medigap Plan

How to Compare Medigap Plans in 2025

How Your Employer Insurance and Medicare Work Together

Is Displacement Affecting Your Medicare Coverage?

Is HIFU Covered by Medicare?

Is the Shingles Vaccine Covered by Medicare?

Medicare Advantage MSA Plans

Medicare Advantage Plans for Disabled People Under 65

Medicare Consulting Services

Medicare Deductibles Resetting in 2025

Medicare Savings Programs in Kansas

Medicare Supplement Plans for Low-Income Seniors

Seeing the Value in Fair Square

The Fair Square Bulletin: October 2023

What Happens to Unused Medicare Set-Aside Funds?

What Is a Medicare Supplement SELECT Plan?

What is Plan J?

What to Do When Your Doctor Doesn't Take Medicare

What's the Deal with Flex Cards?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.

Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M

Fair Square Medicare

FSM symbol - 50