Your Primary Care Provider
Nebraska Total Care members must choose a Primary Care Provider (PCP). If you do not choose one we will assign you one. Your PCP will be your main doctor. They can help coordinate all of your health needs.
If you need help finding a Primary Care Provider please call Member Services. The phone number is 1-844-385-2192 (TTY 711).
You can choose any PCP in our network. You can change your PCP any time. Your PCP can be a:
- Family General Practitioner
- Specialist who performs PCP functions
- Nurse Practitioner
If you would like to know more about a PCP, you can call Member Services. They can tell you what language the provider speaks, if they are in the network, or where they are located.
Children and Teens
Getting care that is right for your age and your health needs is important. When children are young, they see a doctor who knows all about kids’ health. That doctor is called a pediatrician. But when they grow up, their health needs change. That is when it is time to move to a doctor who knows about adult health. Your doctor can help you and your child make this change. We can help you with this change.
You can change your Primary Care Provider at any time. There are three ways to change your PCP.
- Complete the Request to Change My Primary Care Provider (PDF) form. The bottom of the form tells you where to send it after you have filled it out.
- Complete the form in our Secure Member Portal.
- Call Member Services to help you. The phone number is 1-844-385-2192 (TTY 711).
After you tell us who your new PCP is, we will send you a new Nebraska Total Care member ID card. This will have your new PCP’s name and telephone number on it.
See your Primary Care Provider every year for an annual wellness checkup. This helps prevent health problems. The wellness checkup gives your PCP a chance to find health problems early, when they are easier to treat. These appointments can help you and your PCP to get to know each other.
Call your PCP's office to schedule appointments. You have unlimited visits to your PCP. There is no cost to you. Make appointments with them when you need them.
If you need to change or cancel your appointment let your doctor know as soon as you can. It is best to call at least 24 hours before the appointment. Do not just skip an appointment. If you need to change an appointment, call the doctor’s office as soon as you can. They can make a new appointment for you.
Your PCP will:
- Make sure you get all medically-necessary services when you need them
- Follow-up on the care you get from other medical providers
- Make referrals for specialty care when needed
- Give ongoing care you need
- Keep your medical record up to date
- Keep track of all the care you receive
- Give services in the same manner to all of their patients
- Give you regular physical exams as needed
- Give preventive care visits
- Give you immunizations
- Offer 24/7 contact information
- Discuss what advance directives are and keep them in your medical record
- Treat you with respect
- Advocate for your health
- Offer the same appointment availability to all patients
- Review all of your medications and dosages at every visit
Annual Health Visit (AHV)
- This is a check-up with your Primary Care Physician or a Specialist.
- Your first Annual Health Visit must be complete in the first ten months that you are in the Demonstration. Then have an AHV once every year.
- Schedule this appointment as soon as possible. Tell your provider you need a Heritage Health Adult Annual Health Visit.
- If you need help finding a provider or scheduling an appointment call Member Services. The phone number is 1-844-385-2192, Nebraska Relay Service 711. We can help you.
- There is important information in the Member Handbook.
- If you had an AHV two months or less before you were in the demonstration you may have already met the requirement. If you think you have met the requirement please call us. The phone number is 1-844-385-2192, Nebraska Relay Service 711.
Do not skip appointments. If you cannot get to an appointment call your provider as soon as possible. If you “no-show” for three or more appointments in six months you are not eligible for HHA Prime benefits. If you need help getting to your appointments please call us.
Be honest with your doctor.
Your PCP needs you to be honest about your health and symptoms. If you have questions about your health, treatment, or your medicines, ASK! Your doctor wants to help you.