CHANGING PHYSICIANS

Whether you’re moving, your doctor is retiring, or your daughter tells you she’s too old for a pediatrician, the time will come when you’ll need to change physicians. This is a relatively simple process. We’ve created this brochure to make you aware of the steps you need to consider and to help you avoid unnecessary complications.

THINGS TO CONSIDER

• Some of our medical plans require that you have a primary care physician (PCP) and that you notify the plan administrator when you change doctors.

• Generally, when you change physicians, your change is effective the first day of the following month.

• It’s good to know if your doctor has a covering physician and, if so, how to contact that provider when your doctor’s not available. Beware if your doctor doesn’t have a covering physician because your only alternative may be the emergency room at the local hospital and you’ll probably pay a lot more for treatment.

Checklist

Find out which doctors are available in your area

Ask your current doctor for a recommendation

Make sure the physician you choose is accepting new patients

Ask your current physician to transfer your medical records to your new doctor

Notify your health plan carrier of the change, if required

Find out what requirements your new doctor may have (new patient exam, etc.)

Find out which hospital(s) your doctor is affiliated with

Coordinate any on-going treatment with your new physician, if necessary

FREQUENTLY ASKED QUESTIONS

Q. How do I find out which doctors are available in my area?

A. You can find a list of contracted providers or contact your HMO.

Q. How do I change my PCP?

A. Changing physicians is relatively easy. Simply go to “ Manage Your Enrollment Online. ” Or if you prefer, you can call us at 578-5600 or toll-free at (800) 777-3622. If you’re enrolled in an HMO, you’ll need to contact them about their change guidelines and requirements.

Q. If I just had a routine physical exam with my previous doctor, do I have to wait to get another one with my new doctor?

A. You might, so check with your insurance before going. Generally, you’re eligible for a routine adult physical according to the following schedule (be sure to verify this with your insurance):

Age Routine Physical

19-39 One exam every three years

40-49 One exam every two years

50+ One exam every year

Well woman exams are usually covered once every calendar year.

Q. Do I need to coordinate any on-going treatment with my new PCP?

A. You should —in fact, some medical plans even require it. Make sure your doctor knows what medications, if any, you’re taking and what other treatment or therapy you may be receiving.

This information is provided as a service to help you make informed decisions. Nothing in this information should be considered legal, financial, investment, or medical advise. For a complete description of the plans. please refer to your Benefits Handbook. As with any major life event, you should consult with qualified prefessionals of your choice who can provide you with appropriate counsel and advise.

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