You may change your primary care clinic by notifying Medica using the form below. Changes become effective the first day of the month. If you submit your change by the 20th of the month, it will become effective on the first day of the next month. If you submit your change later than the 20th of the month, it will become effective the month after next. Please refer to your coverage document on mymedica.com for more information on primary care clinic changes.

Complete the form and select Submit to return the form electronically to Medica.