It’s important to have a doctor who can help you stay healthy and provide services to help get you better when you are sick or injured. If you selected a Humana HMO plan (excluding the HMO Premier network), you were required to select a Primary Care Physician, also known as a PCP, or one was assigned to you during enrollment.
Your primary care physician provides your regular preventive care and screenings and works with any specialists to coordinate additional care. Calling your doctor’s office, during business hours, is your best option for care. To learn more about where to go to receive the right level of care the next time you need to make an urgent healthcare decision, click here.
If you chose an HMO a referral is required to see a specialist or doctor other than your Primary Care Physician (PCP). You will first need to schedule a visit with your PCP. Your doctor will then provide you with a referral for a specialist in your network.
If you chose a PPO plan, you are not required to get a referral in order to see a specialist. You can receive care from any doctor you choose, however you will save more money by choosing a doctor, specialist or hospital that is within your network.
Make sure the PCP on your Humana member ID card is the one you want. Your medical network name can be found on your Humana member ID card.
Need to find a PCP, doctor, specialist or healthcare provider in your Humana medical provider network that is also close to home? You can access this information on Humana's Physician Finder Plus.
Here's how to search:
Don't know your Humana member ID number or Humana medical network?
1. Do you know which PCP you would like to select?
2. Steps for changing your PCP either online or by phone:
Note: To change your PCP online you will need either your Humana member ID number or your Social Security Number (if you provided it when you chose your plan). If you do not have either of these, proceed to phone option below.
Once you have logged in to your MyHumana account select Coverage & Benefits from the Coverage, Claims & Spending tab at the top of the screen
The Coverage & Benefits page will open in the same browser window. If the “Change Primary Care Physician” link does not display in the Plan basics section, you may not be eligible to change your PCP online. If you are not eligible to change online, please call 1-800-223-3659 to change your PCP.
If it displays, click “Change Primary Care Physician” within the Plan Basics section.
The Change primary care physician tool opens in a new browser window. Enter your information as shown below to search for a doctor
Your zip code should be pre-populated in the Zip code field. If it is not pre-populated, enter your zip code
Select “Specialty” as the search function
Type “Primary” and select the option “All Primary Care Physician Specialties”
After you find your preferred primary care physician:
Click “Select” to choose the preferred primary care physician
If your primary care physician is not accepting new patients you will be asked if you would like to confirm your selection. If you are an established patient click “ok.” If you are not an established patient click “cancel” and select a new primary care physician.
Select “Yes” when asked if you are sure you want to change your PCP
The Change primary care physician tool window should close, and your new primary care physician will be displayed in the Plan basics rendering, along with the date when the change will take effect.
Timing: Your PCP change may not be immediately reflected on MyHumana. It may take 24-48 hours to update this information on MyHumana. Please note the effective date upon the change of your PCP within MyHumana. If an image of your Humana member ID card is available on MyHumana, it may also take 7 to 10 days to update the PCP’s name on that image. You may visit your new PCP immediately but please note that if you need to see your PCP before you get an updated ID card you may need to contact us by phone
ID Card: Each time you update your PCP, you will receive a new Humana member ID card in the mail with your new PCP’s name on it. Some doctors may not allow you to make an appointment or see them if their name does not appear on your Humana member ID card. If you need to see your new PCP prior to receiving your new Humana member ID card, please contact us at the number above. Remember you can always print out your Humana member ID card from MyHumana once is it available.