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

About

Medicare 101

Current Clients

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

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:

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.
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.
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.
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.
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.

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.

888-454-2383

info@fairsquaremedicare.com

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

•

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

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

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

Speak with a Medicare Advocate

Steps to change your PCP:

Speak with a Medicare Advocate

Recommended Articles

More of our articles

Your Medicare One-Stop-Shop

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans