To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services' Physician Compare. You can search by entering a health care professional’s last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system.
Full Answer
How do I find Medicare providers near me?
The official Medicare website has many resources for finding providers and facilities that accept Medicare near you. For example, you can find and compare hospitals or other providers and search what services are covered by your Medicare plan. Check your insurance company provider listings.
How does medi-care work in California?
If you’re eligible to enroll in Medi-Cal, you are automatically placed into the Fee-Fo-Service plan until you select your managed care provider. Your access to Medi-Care health plans depends on what California county you live in.
How do I find an HMO doctor in California?
Go to blueshieldca.com and select Find a Provider. Next to Select a Plan, click on the Select button. Choose the medical plan and subplan, then click Set Plan. Under “ Provider Types ,” select Doctor . In the “ Doctor type or specialty ” field, enter “ HMO Personal Physicians .” Enter your city, county, state, or ZIP code, then click Find Now.
How do I know if my doctor is covered by Medicare?
If your Medicare coverage is provided through an insurance provider with a network of doctors and hospitals, check with the company to be sure your doctor is in their network This can be done by calling your insurance provider or checking their website. Ask trusted friends and family members.
How do I find a doctor who accepts Medi-Cal?
You can use DHCS' find a provider form to help by following only three simple steps when you search by location:Select your program: Medi-Cal Managed Care or Cal MediConnect.Choose a provider type: Doctor, hospital, medical clinic or dentist/dental clinic.Search by location: Address, zip code or county.
What is the best way to find a doctor if you're new in the area?
Get a recommendation from your former primary care doctor. ... Find health care providers through your insurance provider. ... Use the American Medical Association's DoctorFinder tool. ... Search the U.S. News Doctor Finder. ... Ask new friends, neighbors and coworkers.
Can I see a specialist with Medi-Cal?
Medi-Cal managed care medical plans have their own doctors, specialists, clinics, pharmacies, and hospitals. You can choose the doctor or clinic for all your health care needs.
What specialists are covered by Medicare?
Medicare will cover your specialist visits as long as a GP refers you and as long as it's a service listed on the MBS. This includes visits to dermatologists, psychiatrists, cardiologists and many others. If the specialist bulk bills, Medicare will cover 100% of the cost.
Can you keep your doctor if you move?
Your existing GP might still be willing to continue treating and visiting you at your new address. A GP can continue to treat you if you move out of their catchment area, but they will have to assure the Clinical Commissioning Group (CCG) that they are willing to do so.
Whats the difference between internal medicine and primary care?
Primary care physicians take care of specific. groups of individuals. For example, pediatricians are primary care physicians who care for children only. Internal medicine physicians are primary care physicians who treat adults.
Does Kaiser accept Medi-Cal?
Free or low-cost coverage At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our available doctors accept Kaiser Permanente members with Medi-Cal coverage. Get care from a doctor or specialist – including appointments, exams, and treatment.
What is the difference between Medi-Cal and Medicare?
Medicare provides health coverage to individuals 65 and older or those with a severe disability regardless of income, whereas Medi-Cal (California's state-run and funded Medicaid program) provides health coverage to those families with very low income, as well as pregnant women and the blind, among others.
What is wrong with Medi-Cal?
There is a fundamental problem with Medi-Cal that is hindering patient access to care, and to specialists in particular – Medi-Cal physician reimbursement is so low that physicians cannot cover the cost of providing care.
What will Medicare not pay for?
In general, Original Medicare does not cover: Long-term care (such as extended nursing home stays or custodial care) Hearing aids. Most vision care, notably eyeglasses and contacts. Most dental care, notably dentures.
Are there copays with Medicare?
What Is a Medicare Copayment? There are generally no copayments with Original Medicare — Medicare Part A and Part B — but you may have coinsurance costs. You may have a copayment if you have a Medicare Advantage plan or Medicare Part D prescription drug plan.
Does Medicare cover emergency room visits?
Private hospital emergency department services are claimable under Medicare from 1 March 2020. If you're an Overseas policy holder, please visit our Overseas webpage to confirm if you're eligible to claim a benefit for outpatient services under your level of cover.
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Use our provider search tool to find quality data, services offered, and other information for these type of providers:
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How to find a provider in California?
Once you have selected your health plan, you can determine which providers are covered. You can use DHCS’ find a provider form to help by following only three simple steps when you search by location: 1 Select your program: Medi-Cal Managed Care or Cal MediConnect 2 Choose a provider type: Doctor, hospital, medical clinic or dentist/dental clinic 3 Search by location: Address, zip code or county
How many hospitals are part of Medi-Cal?
The Medi-Cal program has participation from over 400 hospitals and approx 130,000 physicians, pharmacists, dentists and other health care providers in California. Most Medi-Cal plans are managed care plans, which mean they operate similar to a Health Maintenance Organization (HMO).
What is Medi-Cal in California?
Medi-Cal is the Medicaid program in California that allows low-income individuals and families who don’t have the financial means to obtain health care coverage to gain access to necessary medical and health care providers and services.
How long do you have to select a Medi-Cal plan?
You must select a plan no more than 30 days after you’ve been informed you qualify for Medi-Cal services. Otherwise, the state of California will select your health plan for you. If your county only has one plan listed, then that is the only option available for all Medi-Cal enrollees.
Can I afford medical insurance in California?
If you’re in need of health insurance coverage for yourself or your family, you can now afford medical services at little or no cost thanks to Medi-Cal, California’s Medicaid program.
What happens if you choose a doctor that is not in your PPO network?
If you choose to use a doctor or hospital that is not in your plan’s network, you will be responsible for all billed charges. Please note that the Exclusive PPO network is not as large as our Full PPO network. Whenever possible, you should choose a doctor or hospital from the preferred provider network.
What happens when you go to a preferred provider?
When you go to a preferred provider, you can save money and receive the highest level of benefits available to you. Non-preferred providers. When you decide to go to a non-preferred provider, you should be aware that Blue Shield of California has no contract with these non-network providers concerning "allowable amounts.".
What to consider when choosing a PPO provider?
Things to consider when choosing a PPO provider. With PPO plans, you have the option to go to a preferred or non-preferred doctor or hospital each time you access care. Preferred providers are in Blue Shield PPO network while non-preferred providers are not within their PPO network. Every plan offers a network of doctors ...
How far away from your home should a physician be from your Blue Shield?
Generally, Blue Shield will require that the selected Personal Physician be located within 15 miles or 30 minutes from the member's residence or place of employment.
What is a medical group?
Medical groups are organizations of physicians, generally located in the same facility, who provide a range of services to health plan members.
Do you have to pay out of your own pocket for a health insurance plan?
Every plan offers a network of doctors and hospitals to provide you and your family with care. In order to make sure you receive the best value and do not have to pay out of your own pocket at the time of service, you must use doctors and hospitals in your plan’s network.
Provider and pharmacy directories
Use these directories to assist you in selecting a Blue Shield Promise Cal MediConnect Plan network healthcare provider*.
Nurse Advice Line
You can call our advice line to connect with a registered nurse who will listen to your health problem, help you decide if you or your child needs to see the doctor, what to do if your symptoms get worse, and what you can do at home to feel better. It's free and easy.
Provider directory inaccuracies
If you believe there is a potential inaccuracy or error in our directory, please let us know: