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What is staying the same?
• Members in HMO plans are still required to maintain a PCP.
• The PCP network name will not display on the ID card (previously removed in 2024).
• Copays will still display on ID cards.
• Provider claims addresses will still display on back of ID cards.
• Members will still receive a hard copy of their ID card and can request replacement/secondary ID cards if needed.
• PCP Independent Practice Association (IPA) notification letters will be sent to members when they select a PCP belonging to an IPA.
• HMO members with plan-initiated PCP reassignments will be sent the appropriate PCP change letter.
When are these changes occurring?
• New enrollees with a 1/1/2025 effective date will start receiving ID cards without PCP information as soon as 10/15/2024.
• Current enrollees will receive new ID cards during the reissue period taking place between November and December of 2024.
*Note: PPO members will not receive a PCP notification letter. Also, a letter will not be sent for PCP changes throughout the year, unless there is a plan-initiated PCP reassignment. In this case, members will be sent the appropriate PCP change letter.
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