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

Rattlesnake biting on a hiker's boot stock image
Does Medicare Pay for Antivenom?
Dec 6, 2022
breast cancer awareness ribbon stock image
Does Medicare Cover Piqray?
Dec 2, 2022
Medicare cost stock image
How Much Does Medicare Cost?
Jul 25, 2022
doctor consulting their patient stock image
Does Medicare Cover the Urolift Procedure?
Dec 6, 2022
Cover image
2024 "Donut Hole" Updates
Aug 3, 2023
Fair Square
Is Displacement Affecting Your Medicare Coverage?
Oct 6, 2022
Nashville city skyline stock image
14 Best Ways for Seniors to Stay Active in Nashville
Mar 10, 2023
Senior man receiving care from an optometrist stock photo
Does Medicare Cover Cataract Surgery?
Dec 22, 2022
woman in a therapist office stock photo
Does Medicare Cover Hypnotherapy?
Nov 22, 2022
Cover image
Does Medicare cover Hyoscyamine?
Nov 30, 2022
senior man reaching to his ear with jumbled letters going into the ear stock image
Does Medicare Cover Hearing Aids?
Nov 9, 2022
Cover image
When to Choose Medicare Advantage over Medicare Supplement
Jun 7, 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
Should You Work With A Remote Medicare Agent?
Sep 20, 2023
Doctor showing patient bone anatomy of skeleton of nose and nasal cavity on skull. Preparing for rhinoplasty surgery, correcting deviated nasal septum, localization of rhinitis, sinusitis in nose stock photo
Does Medicare cover Deviated Septum Surgery?
Nov 18, 2022
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
A person with a shopping cart already containing medicaid and medicare sees Medigap options on a table. In a thought bubble, they ask "Should I get Medigap too?"
Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?
Jan 7, 2023
Caucasian nurse holding spine model against the patients backs. Clinic interior. stock photo
Does Medicare Cover SI Joint Fusion?
Nov 28, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

Can Doctors Choose Not to Accept Medicare?

Can I Choose Marketplace Coverage Instead of Medicare?

Can I Have Two Primary Care Physicians?

Can I switch From Medicare Advantage to Medigap?

Can I Use Medicare Part D at Any Pharmacy?

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

Costco Pharmacy Partners with Fair Square

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 Air Purifiers?

Does Medicare Cover an FMT?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Boniva?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover COVID Tests?

Does Medicare Cover Disposable Underwear?

Does Medicare Cover Geri Chairs?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover Ilumya?

Does Medicare Cover Incontinence Supplies?

Does Medicare Cover Inqovi?

Does Medicare Cover INR Machines?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Krystexxa?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover Lipoma Removal?

Does Medicare Cover Ofev?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Tymlos?

Does Medicare Cover Urodynamic Testing?

Does Medicare Pay for Bunion Surgery?

Does Medicare Require a Referral for Audiology Exams?

Explaining IRMAA on Medicare

Fair Square Bulletin: We're Revolutionizing Medicare

Fair Square Client Newsletter: AEP Edition

How Are Medicare Star Ratings Determined?

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

How Medicare Costs Can Pile Up

How Much Does a Medicare Coach Cost?

How Much Does Medicare Part A Cost in 2023?

How Much Does Medicare Part B Cost in 2023?

How Much Does Open Heart Surgery Cost with Medicare?

How Much Does Rexulti Cost with Medicare?

How Much Does Xeljanz Cost with Medicare?

How to Apply for Medicare?

How to Choose a Medigap Plan

How to Deduct Medicare Expenses from Your Taxes

How Your Employer Insurance and Medicare Work Together

Is Balloon Sinuplasty Covered by Medicare?

Is HIFU Covered by Medicare?

Is the Shingles Vaccine Covered by Medicare?

Medicare Consulting Services

Medicare Guaranteed Issue Rights by State

Medicare Supplement Plans for Low-Income Seniors

Seeing the Value in Fair Square

The Easiest Call You'll Ever Make

The Fair Square Bulletin: August 2023

The Fair Square Bulletin: The End of the COVID Emergency Declaration

Top 10 Physical Therapy Clinics in San Diego

What Are Medicare Part B Excess Charges?

What Is a Medicare Advantage POS Plan?

What is a Medicare Beneficiary Ombudsman?

What Is a Medicare Supplement SELECT Plan?

What Is the Medicare Birthday Rule in Nevada?

What to Do When Your Doctor Doesn't Take Medicare

Which Medigap Policies Provide Coverage for Long-Term Care?

Will Medicare Cover Dental Implants?

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 2023

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. © 2022 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