Advanced Primary Care Management in
Fort Myers & Lehigh Acres
- Personalized care planning
- Ongoing follow-up between visits
- Medication and care coordination
- Offices in Fort Myers and Lehigh Acres
Your health needs do not always fit neatly into one office visit. Advanced Primary Care Management (APCM) gives eligible patients more continuous support from their primary care team, helping keep care plans, medications, referrals, follow-up, and changing health needs better connected over time.
APCM is a Medicare Part B service, provided as an ongoing monthly service for patients who are eligible and who agree to take part.
What Is Advanced Primary Care Management?
Advanced Primary Care Management is a patient-focused approach designed to make primary care more continuous and coordinated.
Medicare describes it as a service in which your primary care provider takes extra steps to actively manage all of your health care needs.
Instead of relying only on individual office visits, your primary care team stays involved in organizing and managing your health needs over time. This may include maintaining a personalized care plan, coordinating with specialists, reviewing medications, supporting care transitions, and helping you stay on track with recommended follow-up.
For participating patients, the primary care provider and care team serve as the main point of ongoing care and help keep healthcare received from other providers and settings better connected.
A Medicare service, not a membership.
A chronic condition is followed over years. An acute problem (an infection, an injury, a sudden flare of something you already have) is handled now. Our care covers both, and the two are connected: an acute illness often lands on top of a chronic condition, and the plan has to account for that.
More Support Beyond the Office Visit
Medicare expects a practice providing APCM to be able to offer a defined set of supports to every participating patient, as each patient’s situation calls for them. These are the main ones.
Personalized Care Plan
Ongoing Primary Care Management
Medication Management
Specialist & Care Coordination
Follow-Up After Hospital or ER Care
Round-the-Clock Access for Urgent Needs
Not every part of this applies to every patient every month. Your care team provides what your situation calls for.
Who May Benefit From Advanced Primary Care Management?
APCM may be helpful for patients whose healthcare requires more coordination and follow-through than occasional office visits alone can provide.
You take multiple medications
You see several healthcare providers
You need regular follow-up
You have one or more ongoing health conditions
You recently visited the hospital or emergency department
You need help organizing tests, referrals, medications, and follow-up
You want your primary care team to act as the central point for your healthcare
You are a Medicare patient interested in more comprehensive ongoing primary care support
You do not need to have several chronic conditions to be considered. Medicare includes a level of APCM for patients with one chronic condition or none at all. What matters more is whether one primary care team is acting as the main point of contact for your care.
How Is Advanced Primary Care Management Different?
Both describe real primary care. The difference is how much structure sits around the visits.
Concerns are commonly addressed during visits
Advanced Primary Care Management Adds structured ongoing care management
Follow-up occurs as needed
Maintains a comprehensive patient-centered care plan
Specialist referrals and follow-up
Supports care across providers and healthcare settings
Patients contact the office when new needs arise
Includes medication management
Helps coordinate transitions after hospital or ER care
Provides enhanced communication and continuity between visits
APCM does not replace regular primary care. It extends and organizes the care relationship between visits.
Advanced Primary Care Management vs Chronic Care Management
APCM and Chronic Care Management (CCM) are related care-management services, but they are not the same. The right option depends on your healthcare needs and eligibility.
Chronic Care Management
Advanced Primary Care Management
Which one applies to me?
You do not need to decide which program is right for you on your own.
Your PrimaryCareIM care team can review your needs and explain which form of care management may be appropriate. Medicare will only pay one provider for APCM in a given month, so if another practice already provides a monthly care management service for you, say so — it affects what is possible.
How Advanced Primary Care Management Works
Start With Your Primary Care Team
Your first visit covers your history, every condition you are managing, every medicine and supplement you take, your past test results, and which specialists you already see. If your care started somewhere else, we work from those records rather than starting you over.
Agree to Take Part
Nothing starts until you say yes. Medicare requires your consent, in writing or spoken out loud, and it is recorded in your chart. You will be told that only one provider can be paid for this service in a given month, that cost sharing may apply, and that you can stop at any time.
Build Your Care Plan
Your care team develops or updates a personalized plan covering your conditions, treatments, health goals, and next steps.
Stay Connected Between Visits
Your team supports follow-up, care coordination, medication management, and communication as your needs change.
Adjust the Plan Over Time
The plan can evolve when test results, specialist recommendations, medications, hospital visits, or health concerns change.
Support for Ongoing and Complex Health Needs
Advanced Primary Care Management can support patients with a wide range of ongoing healthcare needs. APCM may support patients managing:
High blood pressure
Diabetes
Heart disease
COPD and respiratory conditions
Kidney disease
High cholesterol
Arthritis
Multiple medications
Multiple ongoing health concerns
This is not a complete list, and it is not a list of requirements. It simply describes the kinds of situations where ongoing coordination tends to help most. The day-to-day clinical care of these conditions is part of regular primary care here either way, see chronic disease management.
One Primary Care Team Helping Keep the Bigger Picture Connected
With Advanced Primary Care Management, PrimaryCareIM can serve as a more continuous point of support, helping keep your care plan, medications, specialists, follow-up, and changing health needs connected.
Need More Support Between Visits?
Talk with our team about whether Advanced Primary Care Management may be appropriate for you.
Does Medicare Cover Advanced Primary Care Management?
Yes. Medicare Part B covers Advanced Primary Care Management for eligible patients when program requirements are met, and it is provided as an ongoing monthly service.
Who is eligible
You need Medicare Part B, and one primary care provider has to be acting as the main point of contact for all of your health care needs.
Medicare sets up the service at three levels, based on your health: one level for patients with one chronic condition or none, one for patients with two or more chronic conditions, and one for patients with two or more chronic conditions who also take part in the Qualified Medicare Beneficiary program. You do not need to work out which level applies to you. Your provider does that.
What you pay
Medicare states that after you meet the Part B deductible, you pay 20% of the Medicare-approved amount for this service.
Because APCM is a monthly service, that amount can appear each month you receive it.
Many people who have both Medicare and Medicaid pay nothing for these services.
If you have a Medicare Advantage plan or a secondary insurance, your costs work differently. Medicare advises contacting your plan to find out what you would pay.
What you are agreeing to
Participation requires patient consent, and patients may stop participating.
Medicare requires that your consent (spoken or written) is recorded in your medical record, and that before you agree you are told three things:
- Only one provider can be paid for this service in a given calendar month.
- Cost sharing may apply.
- You can stop receiving the service at any time.
If you have not been seen at our practice in the last three years, Medicare requires a regular office visit before the service can begin.
Have questions about eligibility or coverage?
Coverage and cost depend on your own plan and your own circumstances.
Contact PrimaryCareIM and your health plan to understand your individual coverage and potential costs before anything starts. You can also see the insurance plans we work with.
Advanced Primary Care Works Together With Other Services
APCM sits alongside the rest of the primary care we provide in Fort Myers and Lehigh Acres.
Medication Management
Review and coordination of your medications as your treatment changes.
Chronic Care Management
You are seen when you call with a problem
Disease Management
Ongoing care for acute and chronic health conditions.
Primary Care
The regular office visits everything else is built around.
Physical Exams
Yearly exams to review overall health and preventive needs.
Care Coordination
Help with referrals, records, test results and follow-up across your providers.
Transitional Care Management
Follow-up in the period after a hospital or qualifying facility discharge.
Remote Patient Monitoring
Connected devices that share certain health readings from home with your care team, for eligible patients.
Annual Wellness Visits
A yearly planning visit focused on prevention and personal health goals.
Not sure which of these you need? You do not have to work it out alone. Call either office and we will go through it with you. You can also see all primary care services at PrimaryCareIM.
Advanced Primary Care Management in Fort Myers and Lehigh Acres
Fort Myers Office
Lehigh Acres Office
Telehealth visits are available for many follow-ups and check-ins. We accept Medicare and work with major insurance providers.
Insurance and coverage
PrimaryCareIM works with Medicare, many Medicare Advantage plans, and a range of major insurance providers.
Insurance plans we work with
What patients say
“Great appointment. On time, thorough, totally professional and a wonderful helpful front office.”
Fort Myers Patient
“Excellent service, as always. From check-in to check-out, everyone is very friendly and efficient. Thank you.”
Lehigh Acres Patient
Advanced Primary Care Management FAQs
Is APCM only for patients with multiple chronic conditions?
No. APCM is built around your overall primary care needs.
Medicare includes a level of the service for patients with one chronic condition or none at all. Patients with ongoing conditions often benefit, but so do patients who see several providers, take multiple medications, or simply want more continuous support and follow-up from their primary care team.
Is Advanced Primary Care Management the same as Chronic Care Management?
They are related but not the same.
Chronic Care Management focuses specifically on patients with multiple qualifying chronic conditions, Medicare says you need two or more serious chronic conditions expected to last at least a year. APCM is a broader primary care framework that combines care planning, coordination, medication management, transitional support, and enhanced communication into one monthly service. Our team can review your needs and explain which may be appropriate.
Will I still see my primary care provider?
Yes. APCM does not replace your office visits.
You continue to see your primary care provider, and APCM adds ongoing management and support in between those visits.
Can APCM help after a hospital visit?
It can.
When you move between healthcare settings, your primary care team can help coordinate appropriate follow-up, review medication changes, and make sure next steps are reflected in your care plan.
How do I know whether APCM is right for me?
The best next step is a primary care visit at our Fort Myers or Lehigh Acres office.
Your provider can review your health needs, medications, and providers, and discuss whether APCM or another form of care management fits your situation.
Does Medicare cover Advanced Primary Care Management?
Yes. Medicare Part B covers APCM for eligible patients when program requirements are met, and it is provided as an ongoing monthly service.
Medicare began paying for it on 1 January 2025. Medicare Advantage and secondary insurance benefits may differ. Please contact our office and your health plan to confirm your individual coverage.
How much does Advanced Primary Care Management cost?
Medicare states that after you meet the Part B deductible, you pay 20% of the Medicare-approved amount for this service, and that many people who have both Medicare and Medicaid pay nothing.
Because APCM is a monthly service, that amount can appear each month you receive it. If you have a Medicare Advantage plan or secondary insurance, contact your plan to find out what you would pay.
What am I agreeing to, and can I stop?
You can stop at any time.
Medicare requires your consent (spoken or written) before the service starts, recorded in your medical record, and requires that you be told that only one provider can be paid for this service in a given month, that cost sharing may apply, and that you may stop receiving it whenever you choose.
Do I need an office visit first?
Possibly.
Medicare requires a regular office visit before APCM begins for patients who are new to the practice or who have not been seen there in the last three years. If you have been seen recently, no separate visit is needed to start
Can two doctors provide this for me at the same time?
No. Medicare will pay only one provider for Advanced Primary Care Management in a given calendar month.
If another practice already provides a monthly care management service for you, tell our team, it affects what is possible.
How do I start with PrimaryCareIM in Fort Myers or Lehigh Acres?
Call the office nearest you (Fort Myers at (239) 489-0800 or Lehigh Acres at (239) 369-9911) or book an appointment online.
Your first visit reviews your health history, your medications and your current providers, and from there your provider can explain which ongoing services may fit.
Stay Connected to Your Care Between Visits
Healthcare can become complicated when you are managing medications, specialists, tests, ongoing conditions, and follow-up appointments.
Advanced Primary Care Management helps create a more continuous connection with your primary care team so your care does not begin and end with a single office visit.
Not sure whether APCM is the right service? Schedule a primary care visit and our team can help determine the right next step.