Expand All Collapse All

Patient-Centered Medical Home (PCMH) PCPs can help you take an active role in improving or maintaining your health through coordinated care and access to tools and resources. They may design custom treatment plans, direct you to the proper care centers and closely monitor your health conditions with the help of a large network of CareFirst nurses.

Additionally, selecting a PCMH PCP is one of the steps required to earn your Blue Reward, if applicable. Blue Rewards is an incentive program available to most members that encourages you to get healthy and rewards you for doing so.

To locate a PCMH PCP, use our Find a Doctor search tool. When you search for a PCMH PCP, you can filter to show only those providers who participate in the PCMH program. These providers will have the PCMH logo in their listings.

PCMH logo

Questions that Require Phone Support

The following questions are best answered by one of our Member Services experts.

  • How do I get immediate help with a change in my membership?
  • When will I get my new member ID cards?
  • How do I get proof of coverage or a letter of credible coverage?
  • How do I get help if I’m having technical issues with the website?

Support & Service

Need help with your plan?

Have a question about your benefits? Not finding your answer online? Something else? We’re here for you.

Member Services

If you have additional questions, call Member Services using the phone number on the back of your ID card

Having technical problems?

Can’t log in? Page not loading? Things not working the way they should? We can help.

Technical Help

Phone: 877-526-8390
Hours: Monday–Friday, 8 a.m.–6 p.m. ET

Questions that Require Phone Support

The following questions are best answered by one of our Member Services experts.

  • Can you help me understand how my insurance plan works?
  • How do I get assistance with complex benefits or specific benefit issues?
  • How do I get more information about a particular treatment/service I’m considering?
  • How do I find out if I need prior authorization for a procedure?
  • What’s the status of my prior authorization request?
  • How do I know how many visits I have remaining for a specific service (e.g., physical therapy)?
  • How do I know how much money I have remaining in my allowance for a specific service (e.g., infertility treatments)?

Support & Service

Need help with your plan?

Have a question about your benefits? Not finding your answer online? Something else? We’re here for you.

Member Services

If you have additional questions, call Member Services using the phone number on the back of your ID card

Having technical problems?

Can’t log in? Page not loading? Things not working the way they should? We can help.

Technical Help

Phone: 877-526-8390
Hours: Monday–Friday, 8 a.m.–6 p.m. ET

Questions that Require Phone Support

The following questions are best answered by one of our Member Services experts.

  • What’s the status of my claim appeal?
  • Can you explain the denial code on my benefits claim?
  • Can you help me with a claim I think has been processed incorrectly?
  • Why is my claim being adjusted?
  • Why was my claim with my in-network doctor processed as out-of-network ?
  • Can you help me figure out how much I owe and to whom?
  • Can you help me update my Coordination of Benefits (COB)?
  • Can you help me with a routine visit that requires applied a cost share/patient liability?
  • What’s the status of my over-accumulation review?

Support & Service

Need help with your plan?

Have a question about your benefits? Not finding your answer online? Something else? We’re here for you.

Member Services

If you have additional questions, call Member Services using the phone number on the back of your ID card

Having technical problems?

Can’t log in? Page not loading? Things not working the way they should? We can help.

Technical Help

Phone: 877-526-8390
Hours: Monday–Friday, 8 a.m.–6 p.m. ET

Questions that Require Phone Support

The following questions are best answered by one of our Member Services experts.

  • I can’t find a medical specialist for a specific issue. Can you help me?
  • I can’t find a mental health specialist for a specific issue. Can you help me?
  • Can you help me find an in-network doctor who doesn’t appear when using the Find a Doctor tool?
  • Do I need prior authorization for a procedure I’m considering?
  • Do I need a referral to see a specialist?
  • Can you tell me if a doctor who’s not listed as a pediatrician works with children?

Support & Service

Need help with your plan?

Have a question about your benefits? Not finding your answer online? Something else? We’re here for you.

Member Services

If you have additional questions, call Member Services using the phone number on the back of your ID card

Having technical problems?

Can’t log in? Page not loading? Things not working the way they should? We can help.

Technical Help

Phone: 877-526-8390
Hours: Monday–Friday, 8 a.m.–6 p.m. ET

Questions that Require Phone Support

The following questions are best answered by one of our Member Services experts.

  • How can my healthcare plan help me save money?
  • Am I eligible for any non-medical discounts through CareFirst?

Support & Service

Need help with your plan?

Have a question about your benefits? Not finding your answer online? Something else? We’re here for you.

Member Services

If you have additional questions, call Member Services using the phone number on the back of your ID card

Having technical problems?

Can’t log in? Page not loading? Things not working the way they should? We can help.

Technical Help

Phone: 877-526-8390
Hours: Monday–Friday, 8 a.m.–6 p.m. ET

Related Resources for "Finding Care"

Select a Primary Care Provider (PCP) Guide

Having a Primary Care Provider can help you stay healthier. Here’s how to find one.

Find a Doctor tool

Save time finding the right doctor, specialist or care provider for your specific needs.

Where to go when you need care

Not sure where to go for the care you need? Watch this quick video for advice that’ll save you time and money.