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  • Primary Care Physician Change Request Form

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Primary Care Physician Change Request Form (To be completed by the Member) (Please Print Clearly) Member Name: Date of Birth: Member Number: Phone Number: Member Signature: Date: Current Primary Care.

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Yes. You will be able to change your primary care physician on myuhc.com or by calling the Customer Care telephone number listed on the back of your health plan ID card. You may only change your physician one time a month.

You also can select a different doctor as your primary care physician online at MyHumana.com or by calling Humana at the number found on the back of your Humana member ID card. NOTE: All change requests are subject to verification and physician availability.

To change your primary care doctor, you will need to contact your insurance company either by phone or sometimes through their website. After selecting a new primary care physician, the plan should send you a new ID card listing the doctor on it.

You can select a new PCP at any time. To find or change your network PCP, log in to myuhc.com ® or call the member phone number on your health plan ID card (TTY 711).

Humana has made it easy for you to find a doctor that is covered by your healthcare plan. You can find a doctor by location, provider type, name or language. Simply use the Find a doctor tool.

If you are not happy with your PCP, you can call the medical plan member services department and choose a different PCP. If you want to choose another medical plan for any reason, you may leave the medical plan and join a different medical plan.

No matter how healthy you are, it's a good idea to have a primary care doctor. Like the comfort of going back to your childhood home, there's a sense of reliability in having a primary care doctor as your health home.

If you need help choosing a PCP or would like more information about a specific doctor, please call us at 888.257. 1985 (TTY: 711), Monday through Friday, from 8 a.m. to 5 p.m. We're happy to help. You can also change your PCP through your member portal.

Log in to your account at blueshieldca.com. On the Dashboard, click Manage Health Team under "My Physician." The My Profile page appears where you'll see your PCP and medical group. On the My Profile page, select Change PCP.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232