New to Amerigroup District of Columbia, Inc.? Frequently Asked Questions
Your primary care provider
You may select your primary care provider (PCP) from a list of providers in the Amerigroup DC network. As long as they are in our network, you can choose any of the following:
- Family or general practitioner
- Advanced registered nurse practitioner
- Attending specialist (for enrollees requiring specialty care for their acute or chronic conditions or conditions related to a disability)
- Clinics or Federally Qualified Health Centers
You can also search for providers near your home by checking our easy-to-use online Find a Doctor tool.
Please tell us your doctor's name, and we can check to see if they are in our network. If your doctor is part of the Amerigroup DC network, you can keep them as your primary care provider (PCP). If your PCP is not in our network, we can ask your current doctor to join our network or help you select a new PCP.
Yes, you can change your primary care provider (PCP) at anytime. Just log on to our website or call Amerigroup DC Enrollee Services toll-free at 800-600-4441 (TTY 711).
Your Amerigroup DC ID card
You will get your Amerigroup DC ID card in the mail within ten business days from the date we’re notified of your enrollment in Amerigroup. The name of your primary care provider (PCP) and primary dental provider (PDP) will be listed on the card.
If there is no PCP listed on your ID card, call Amerigroup DC Enrollee Services at 800-600-4441 (TTY 711) to choose a PCP.
Your prescription drug coverage
Your prescription medicines will be covered by Amerigroup DC. As long as you have a prescription from your doctor, you can continue to take that medicine. We may talk to your doctor about medications that do the same thing but may be cheaper. If you take medicine for a mental illness, you can continue to get it.
You can get prescriptions filled at any Amerigroup DC network pharmacy. Our network includes most major chains and many independent community pharmacies. You can search our list of network pharmacies. You can also call Amerigroup DC Enrollee Services at 800-600-4441 (TTY 711) or ask your local pharmacy for help.Find a Pharmacy
Your doctor can request prior approval on medicines by calling our Pharmacy department at 800-454-3730.
We have network pharmacies in all 50 states. Most chain pharmacies and many independent and grocery store pharmacies participate. If you need a refill while on vacation, contact your doctor for a new prescription to take with you or fax it to the closest network pharmacy where you are. Certain restrictions may apply.
If your medicines are lost or stolen, you should contact your doctor to authorize the pharmacy to refill your prescription early. Such requests must include a copy of the police report. The pharmacy may have to contact us for prior approval. Replacement of lost or stolen medicine will be reviewed on a case-by-case basis. Certain restrictions may apply.
If you had to pay for a medicine, you may submit a request for reimbursement. You’ll need to mail a completed reimbursement request form along with any receipts, to the following:
Commercial/Medicaid Claims Department
P.O. Box 52065
Phoenix, AZ 85072-2065