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Choosing a Doctor and Changing your Health Plan

 

How to choose a doctor (PCP)

PCP means Primary Care Provider. Each person who enrolls in Georgia Families has one primary care provider. Your primary care provider is your main doctor, nurse practitioner or other health care provider.

Your PCP will give you checkups, see you when you are sick, and will get to know you and your health care needs. Choose PCPs who will work best with your family. Some people choose PCPs because they are nearby, they speak the same language, or because friends or neighbors have seen the doctor and are happy with the care provided.

If you do not have a doctor now, or if your doctor is not in a health plan, you can Search for a Doctor (PCP) on this site to find out which doctors are in each plan. If you have questions about how to choose, call Georgia Families and talk with an enrollment counselor.

How to change your health plan

Health plans. There are three health plans to choose from in the area where you live. Some members choose a health plan because a doctor they want to see is in that health plan. Others might choose a health plan because they like the programs the plan offers. Each plan provides the medical services defined by Medicaid, Peachare for Kids® and Georgia Pathways to Coverage™.

Compare the health plans and the extra benefits each plan offers in the Health Plan Comparison Chart on the Public Portal.

Changing health plans

  • During your first 90 days in a plan, you can switch to a different plan.
  • After 90 days, you cannot change plans unless you have a special reason and get permission from Georgia Families.
  • When you have been in your plan for a year, you can change plans. Georgia Families will mail you information about changing plans at that time.

You may change plans online, by phone, on paper or in person. See three ways to change your health plan, above.

Changing doctors (PCPs). You can change PCPs at any time. The new PCP must be in your health plan. To change PCPs when you are not changing plans, just call your plan.