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To provide consistency for all members, effective February 6, 2015,
AmeriHealth will update the processing time frame and criteria when members
choose a new primary care physician (PCP).
Beginning in February, the PCP change process for all commercial and
Medicare Advantage members will be as follows:
- When members request a PCP change, they will need to provide a reason for
the change. The change will take effect 14 calendar days later or the
1st of the following month, whichever comes first.
- Note: The two exceptions to this timing are if 1) the change is due
to No Initial PCP Selection or 2) Current PCP no Longer in
Network, in which case the change takes effect the 1st of the current
month.
Members can change their PCP through our
secure member
website, by using the AHNJ On the Go app (for AmeriHealth New Jersey
members only), or by calling Customer Service. Providers cannot make a change
to a member's PCP on the member's behalf. ]