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    When you first sign up for an HMO health plan, you choose, or are assigned, a primary care physician (PCP) who's part of a medical group/independent practice association (MG/IPA).

    Each person on your plan can pick their own PCP. PCPs typically focus on general internal medicine or family medicine. Women and girls can choose an OB/GYN or a WPHCP as their PCP. Older adults can choose a geriatric doctor. Children can have a pediatrician as their PCP.

An HMO health plan offers:

  • Monthly premiums, copays and deductibles are often lower than other types of plans.
  • Access to certain doctors and hospitals, called your HMO provider network, which helps control how much you pay for health care.
  • A primary care physician (PCP) who you see for routine check-ups, physicals, colds and flu. Your PCP will refer you to a specialist for more serious illnesses.

If you are retiring soon, talk with your human resources department or benefits administrator about Medicare options available through your employer or union.

If you are a retiree group Medicare plan member and need assistance with recent enrollment, the status of a claim, or have questions, please call the Customer Service number listed on the back of your member ID card.

We’re open between 8:00 a.m. – 8:00 p.m., local time, 7 days a week. If you’re calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.