Find a Provider or Pharmacy - 2011

Passport Advantage HMO SNP has "plan providers" who have agreed to provide you with your health care services. You may go to any of our plan providers listed in the following directory. Referrals are not required.  Find a provider now! 

If you are a Passport Advantage member, you can choose from over 1,000 pharmacies in our network. This is even more than the Medicare program requires for us to have in our network. In most cases, your prescriptions are covered under Passport Advantage only if they are filled at a network pharmacy. Find a pharmacy now! 

What is a "PCP" and what does the PCP do for you?

• What is a PCP?
  A "PCP" is a Primary Care Provider. This is the doctor you see most often for your care. When you become a member of Passport Advantage, you will be assigned to a plan provider to be your PCP. As we explain below, you can get your routine or basic care from your PCP.
• What types of providers may act as a PCP?
  Your PCP is a health care professional who meets state requirements and is trained to give you basic medical care.  You may choose any PCP from our network to be your PCP.
• What is the role of the PCP?
  Your PCP will help coordinate the rest of the covered services you get as a member of our plan.

"Coordinating" your services includes checking or consulting with other plan providers about your care and how it is going. In some cases, your PCP will need to get prior authorization (prior approval). If your PCP will provide and coordinate your medical care, we encourage you to have all of your past medical records sent to your PCP's office.

How can I change my PCP?

You may change your PCP for any reason, at any time. Also, it's possible that your PCP might leave our plan’s network of providers and you would have to find a new PCP. To change your PCP, call Member Services.

What if you use non-plan providers or pharmacies to get covered services?

Read our out-of-network policy. 

Remember: If you have an emergency, you do not need to use a Passport Advantage provider or pharmacy. Get care right away!  Read our emergency policy. 

This directory is for our service area, which includes the following 16 Kentucky counties: Breckinridge, Bullitt, Carroll, Grayson, Hardin, Henry, Jefferson, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, or Washington. We also list pharmacies that are in our network but are outside of our service area.