Know Your Options Before You Change Your Medicare Plan
Remember that you have the right to choose who you want as your Primary Care Provider (PCP). Plans can change their doctors, costs, medicines, and benefits each year.
We are confirming which plans our office will accept next year.
Please call the office at 713-330-4325 for more information and guidance on which plans we accept.
Did Your Medicare Plan or PCP Change Unexpectedly?
Plans cannot change your PCP without your consent. If you did not expect a PCP change, ask your plan to explain what happened and tell you your options.
Call Member Services
Use the number on the back of your insurance card and ask:
1. Who is currently listed as my primary care provider?
2. When and why was my PCP changed?
3. Who or what organization initiated the change?
4. Was this recorded as a change I requested? If in doubt, ask for proof.
5. Is my preferred doctor available under this plan, and what do I need to do to select them?
Always write down the date, the name of the person you spoke with, and the call / reference number.
If they say your doctor is no longer in-network If the problem is not resolved
Ask:
When did the network change take effect?
Was I sent a notice?
What options do I have for continued care?
Which PCPs are available to me?
You can:
File a grievance or complaint with your Medicare Advantage plan
Call 1-800-MEDICARE (1-800-633-4227)
Call the Texas Medicare Help Line / HICAP at 1-800-252-9240
If something changes unexpectedly, you can ask questions, request an explanation, and understand your rights and options.
If the change involves our office, call us at 713-330-4325, and please have your plan name, the PCP currently listed, and your call / reference number ready.