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Your primary care physician

Your primary care physician (PCP) is the doctor or other healthcare provider that delivers the majority of your preventive care and services. You get to pick your PCP and can change it at any time.

Medicaid provider talks with a member

What is a PCP?

Your PCP (sometimes called a family doctor or practitioner) typically is:

  • A pediatrician
  • A provider providing internal medicine services
  • A provider who specializes in family medicine or who has a general practice
  • A provider group practice
  • An advanced practice nurse
  • An advanced practice nurse group that specializes in a specific type of care (e.g., OB-GYN care)
  • An individual provider

Your PCP will work with you to direct your health care and:

  • Give you checkups (usually once a year, for people 3 and older)
  • Give you necessary immunizations (shots)
  • Treat most of your routine healthcare needs

Your PCP may send you to other providers or specialists, or admit you to a hospital, if needed.

You can reach your PCP by calling the PCP's office. Your PCP's name and telephone number are printed on your member ID card.

Use our Find a Doctor service to find a doctor who can serve as your PCP

To use our online Find a Doctor tool go to Humana.com/FindaDoctor.

Enter your ZIP code, select Medicaid as your coverage type, and select Network from the drop-down menu.

You can then search by the name of the doctor or facility, specialty, such as cardiology, or a condition such as ear infection.

You also can choose All and type any text into the search.

Then click Search.

Click Update my search to search for something else.

If you need help finding and choosing a doctor, call the number on the back of your enrollee ID card to speak with an Enrollee Services representative.

Changing your PCP

You can change your PCP when you need to. Please make sure we know the name of your PCP. If you try to get primary care services from a doctor we don’t have on file as your PCP, the doctor:

  • May not see you
  • May ask you to call and update us before you can get the services

To change your PCP:

  • Update your PCP information in your MyHumana account
  • Call Member Services at 1-800-448-3810 (TTY: 711), Monday – Friday, 7 a.m. – 7 p.m., and let us know you want to change your PCP and who you want as your PCP
  • Complete and return the PCP Change Request Form, PDF

We will update your records and send you a new member ID card.

You can change your PCP as needed.

Looking for help?

Contact us

If you have questions, find the number you need to get help and support.

Find a doctor

Find a doctor, hospital, or pharmacy.

Documents & forms

Find the documents and forms you need, including your Member Handbook.