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 man receiving care from an optometrist stock photo
Does Medicare Cover Cataract Surgery?
Dec 22, 2022
Cover image
How Can I Get a Replacement Medicare Card?
Aug 14, 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
Man with disability and service dog stock photo
Does Medicare Cover Service Animals?
Nov 29, 2022
woman sitting up in bed experiencing back pain stock photo
Does Medicare Cover a Spinal Cord Stimulator?
Nov 19, 2022
Doctor talking to patients are explaining the treatment of a patient's illness stock photo
How Much Does Rexulti Cost with Medicare?
Jan 24, 2023
The feet of a person suffering from foot pain stock photo
Does Medicare Cover Cartiva Implants?
Nov 29, 2022
a chart explaining different enrollment periods on medicare
How Do I Sign up for Medicare? A Simple How-To Guide For You
Apr 8, 2022
Cover image
How to Become a Medicare Agent
Aug 30, 2023
HIFU treatment stock image
Is HIFU Covered by Medicare?
Nov 21, 2022
Visiting a hospital front desk illustrated stock image
Do All Hospitals Accept Medicare Advantage Plans?
Apr 11, 2023
What is the ICEP?
What is the Medicare ICEP?
Apr 7, 2023
Kansas farm stock photo
Medicare Savings Programs in Kansas
Mar 22, 2023
Leg bones and knees, 3d rendering. stock photo
Does Medicare Cover Fosamax?
Nov 30, 2022
Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo
Does Medicare Cover Oxybutynin?
Dec 2, 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
senior man receiving dental care stock photo
Will Medicare Cover Dental Implants?
Jun 2, 2022
Doctor physician consulting with male patient in hospital exam room stock photo
Is Gainswave Covered by Medicare?
Dec 6, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Jacksonville

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways for Seniors to Stay Active in Seattle

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

20 Questions to Ask Your Medicare Agent

2024 Cost of Living Adjustment

2024 Fair Square NPS Report

Are Medicare Advantage Plans Bad?

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 I Laminate My Medicare Card?

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

Do Medicare Supplement Plans Cover Dental and Vision?

Do You Need Books on Medicare?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Breast Implant Removal?

Does Medicare Cover Cala Trio?

Does Medicare Cover Diabetic Eye Exams?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Exercise Physiology?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Home Heart Monitors?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Macular Degeneration?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Mental Health?

Does Medicare Cover Mouth Guards for Sleep Apnea?

Does Medicare Cover Ofev?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover Piqray?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover Stair Lifts?

Does Medicare Cover TENS Units?

Does Medicare Cover Vitamins?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Bunion Surgery?

Does Medicare pay for Opdivo?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Estimating Prescription Drug Costs

Explaining IRMAA on Medicare

Explaining the Different Enrollment Periods for Medicare

Fair Square Bulletin: We're Revolutionizing Medicare

How Are Medicare Star Ratings Determined?

How Does Medicare Cover Colonoscopies?

How Medicare Costs Can Pile Up

How Much Does Medicare Part B Cost in 2025?

How to Choose a Medigap Plan

How to Deduct Medicare Expenses from Your Taxes

Is Emsella Covered by Medicare?

Is PAE 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

Should You Work With A Remote Medicare Agent?

The Fair Square Bulletin: October 2023

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 8-Minute Rule on Medicare?

What To Do If Your Medicare Advantage Plan Is Discontinued

What to Do When Your Doctor Doesn't Take Medicare

What You Need to Know About Creditable Coverage

What's the Difference Between HMO and PPO Plans?

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