Employer Insurance:Â Choose an HMO plan and select a PCP. Coverage begins the 1st of the next month. Self-Employed / Covered California:Â Select an HMO plan and PCP. Coverage begins the 1st of the next month. Medicare Advantage HMO:Â Choose a Medicare HMO plan and PCP. Coverage begins the 1st of the next month or January 1.
PCP changes always take effect on the 1st of the next month.
Example:Â Change requested: January 10 New PCP active: February 1
Insurance will not approve or pay for:
Your old PCP remains on file until the next month’s cycle.
Insurance companies—not physicians—control the effective date. Doctors cannot override or accelerate the change.
You join automatically when you choose a Primary Care Physician (PCP) who is contracted with PrimeCare Chino.
No. Enrollment happens through your insurance plan.
Coverage usually begins on the 1st of the next month after you select your PCP.
Contact your insurance company and request a PCP change.
All HMO plans activate PCP changes on the 1st of the next month.
If you request a change on January 10, your new PCP becomes active February 1.
Yes, but only as a cash-pay patient. Insurance will not cover the visit until the change is effective.
No. Insurance will not approve referrals, labs, imaging, surgeries, or procedures until the new PCP is officially active.
No. Insurance companies control the effective date. Physicians cannot override it.
You may continue seeing your current PCP or schedule with your new PCP for after the effective date.
ANY FURTHER QUESTIONS CONTACT YOUR INSURANCE PROVIDER
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