Why Primary Care Managers Change

          
One of the most common reasons for you to change your primary care manager (PCM) is one you’re probably familiar with: you request the change yourself. However, there are many other circumstances that might lead to a PCM change.

PCM Changes at MTFs
Some MTFs enroll by unit of assignment, age, active duty or retiree status or even by ZIP code. Depending on the situation, your MTF might send a request asking Humana Military to reassign all of a PCM’s patients to another PCM at the MTF. There are many reasons this could happen, such as the MTF is restructuring their clinics or teams.

If your PCM is located at an MTF, another reason for a PCM reassignment could be troop realignments, which bring large numbers of active duty service members and their families into your area. This can create a need to move retirees to a civilian PCM in the TRICARE network to accommodate the new arrivals at the MTF.

Another situation that happens frequently in the military: obtaining orders to a new posting. Military PCMs, like everyone else in the armed forces, can be reassigned at their current duty station, or transferred to a new duty station.

If you fall into one of these categories, you will receive a letter from Humana Military informing you of your newly assigned PCM within seven to 10 days.

Civilian PCM Changes
If your PCM is a civilian provider, there are several other reasons you might receive a letter informing you of a PCM change.

One of the most common reasons for a PCM change can happen when a child gets too old to see a pediatrician and he or she is reassigned to another PCM.

If you did not request the change, you can also be reassigned because your PCM left for another physician group or he or she is no longer in the TRICARE network. Or, you could receive a letter because your PCM has changed his or her name either through marriage, divorce or other circumstances.

For more information on pending PCM changes, please call Humana Military at 1-800-444-5445, or contact your local MTF or a TRICARE Service Center.