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.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo
Does Medicare Cover Disposable Underwear?
Dec 8, 2022
Cover image
Saving Money with Alternative Pharmacies & Discount Programs
Feb 1, 2024
Caucasian nurse holding spine model against the patients backs. Clinic interior. stock photo
Does Medicare Cover Kyphoplasty?
Dec 9, 2022
male driver taking notes from behind the wheel stock image
Does Medicare Cover Driving Evaluations?
Dec 1, 2022
Medsupp Thumbnail
Plan G vs. Plan N
Jan 28, 2022
doctor consulting their patient stock image
Does Medicare Cover the Urolift Procedure?
Dec 6, 2022
Fecal microbiota transplant from healthy in unhealthy intestine, FMT. Improvement intestinal microflora and normalization stool by introducing beneficial bacteria in bowel colon tract. Vector stock illustration
Does Medicare Cover an FMT?
Dec 2, 2022
Washington DC stock image
14 Best Ways for Seniors to Stay Active in Washington, D.C.
Mar 11, 2023
Teenager Helping his Grandfather at Home stock photo
Does Medicare Cover Geri Chairs?
Dec 7, 2022
SIBO (small intestinal bacterial overgrowth) symptoms stock photo
Does Medicare Cover SIBO Testing?
Dec 1, 2022
Cover image
Fair Square Bulletin: We're Revolutionizing Medicare
Apr 27, 2023
Dames Point Bridge in Jacksonville, Florida stock image
13 Best Ways for Seniors to Stay Active in Jacksonville
Mar 3, 2023
heart surgery stock image
How Much Does Open Heart Surgery Cost with Medicare?
Jan 27, 2023
Gloved hands with a scalpel begin a knee replacement surgery
Does Medicare Cover Iovera Treatment?
Jan 11, 2023
Cover image
Can I Use Medicare Part D at Any Pharmacy?
Aug 28, 2023
Model of the lungs with the diseased part. Cancer or Ground glass opacity GGO. stock photo
Does Medicare pay for Opdivo?
Nov 23, 2022
Cover image
What To Do If Your Medicare Advantage Plan Is Discontinued
Feb 26, 2024
Cover image
Does Medicare Have Limitations on Hospital Stays?
Mar 15, 2024

More of our articles

14 Best Ways for Seniors to Stay Active in Nashville

15 Best Ways for Seniors to Stay Active in Denver

20 Questions to Ask Your Medicare Agent

2024 Fair Square NPS Report

Are Medicare Advantage Plans Bad?

Can Doctors Choose Not to Accept Medicare?

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

Can I Choose Marketplace Coverage Instead of Medicare?

Can I Have Two Primary Care Physicians?

Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?

Do I Need Medicare If My Spouse Has Insurance?

Do I Need to Renew My Medicare?

Do Medicare Supplement Plans Cover Dental and Vision?

Does Medicare Cover Air Purifiers?

Does Medicare Cover Breast Implant Removal?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cartiva Implants?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover COVID Tests?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover Fosamax?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Home Heart Monitors?

Does Medicare Cover Ilumya?

Does Medicare Cover Incontinence Supplies?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Jakafi?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Nexavar?

Does Medicare Cover Ofev?

Does Medicare Cover Piqray?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover Service Animals?

Does Medicare Cover SI Joint Fusion?

Does Medicare Pay for Bunion Surgery?

Does Medicare Pay for Funeral Expenses?

Does Medicare Pay for Varicose Vein Treatment?

Does Medicare Require a Referral for Audiology Exams?

Does Your Plan Include A Free Gym Membership?

Explaining IRMAA on Medicare

Explaining the Different Enrollment Periods for Medicare

Finding the Best Dental Plans for Seniors

Health Savings Accounts (HSAs) and Medicare

How Do Medicare Agents Get Paid?

How Does Medicare Cover Colonoscopies?

How Does Medicare Pay for Emergency Room Visits?

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

How Much Does a Medicare Coach Cost?

How Much Does Medicare Cost?

How Much Does Medicare Part A Cost in 2025?

How to Apply for Medicare?

How to Deduct Medicare Expenses from Your Taxes

How to Enroll in Social Security

Is Gainswave Covered by Medicare?

Is the Shingles Vaccine Covered by Medicare?

Medicare Advantage Plans for Disabled People Under 65

Medicare Supplement Plans for Low-Income Seniors

Medigap vs. Medicare Advantage

Should You Work With A Remote Medicare Agent?

The Easiest Call You'll Ever Make

Top 10 Physical Therapy Clinics in San Diego

What If I Don't Like My Plan?

What is the 8-Minute Rule on Medicare?

What People Don't Realize About Medicare

What You Need to Know About Creditable Coverage

When to Choose Medicare Advantage over Medicare Supplement

Which Medigap Policies Provide Coverage for Long-Term Care?

Why Is Medicare So Confusing?

Why You Should Keep Your Medigap Plan

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