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Get the care you need, when you need it

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Know where to go

Your health care needs don’t always follow a schedule. Learn where to go when you or your family needs care, no matter what time or day it is. 

Your primary care provider (PCP)

Your primary care provider (PCP) is the doctor that you’ll see for most of your health care needs. When you’re sick or hurt, always call your PCP first (unless it’s an emergency). Even if you call after hours, someone from the office should be on call and able to help.

Your PCP is listed on your member ID card and in your online profile.

He or she will:

  • Get to know you and your health history.
  • Work with you to find specialists, treatment plans and medicines when needed.

If you haven’t seen your PCP before, call and make a new patient appointment as soon as you can. It’s a good idea to see your doctor when you’re well, so he or she can better treat you when you aren’t.

Change your PCP anytime

  • To find a PCP in your plan, use our Find a Doctor search tool.
  • To change your PCP, call the Customer Care Center at 1-866-781-5094 (TTY 1-866-773-9634).

If your PCP or specialist is no longer part of the Healthy Blue network, we will mail a letter to notify you. If we know in advance that the provider is leaving the network, you will receive the letter at least 30 days before the effective date. If we learn the provider is leaving after the fact, we will send the letter as soon as possible. We will make a good faith effort to send notification within 15 days after we learn of the provider’s termination. If we are unable to send the letter within 15 days, you will receive it within 30 days.