There are a few simple ways to find a doctor who accepts your Medicare plan:
- Visit physician compare. The Centers for Medicare & Medicaid Services (CMS) has a tool that allows you to look up...
- Check the Medicare website. The official Medicare website has many resources for finding providers and facilities that...
- Check your insurance company provider listings. Medigap...
Full Answer
How do I find a doctor who accepts Medicare?
1 The easiest way to find a doctor who accepts Medicare is to use the free Physician’s Compare tool on Medicare’s official site 2 You should always verify coverage before making an appointment 3 The Physician’s Compare tool allows you narrow your search by body part, location, gender, and more.
How do I search for my doctor?
You’ll be able to search for your doctor by clicking one of the suggested cities or towns near you, or you can type a location or even search your entire zip code. From there, you’ll be able to enter your doctor’s last name. Once you have specified your location, you can search for your doctor by name.
Where can I get help with my Medicare questions?
You can get help with your Medicare questions by contacting or visiting this office. The CMS headquarters is in Woodlawn, Maryland, and regional CMS offices are located in Washington, D.C., Boston, New York, Philadelphia, Atlanta, Chicago, Dallas, Kansas City, Denver, San Francisco and Seattle.
Will Medicare pay for my doctor's visits?
Your doctor’s office will also bill Medicare for your visit. In most cases, a doctor who accepts Medicare will also wait to hear back from Medicare before asking you to pay any cost difference if appropriate.
Does Medicare pay for doctor's visits?
Medicare Part B pays for outpatient medical care, such as doctor visits, some home health services, some laboratory tests, some medications, and some medical equipment.
Why do doctors not like Medicare?
Can Doctors Refuse Medicare? The short answer is "yes." Thanks to the federal program's low reimbursement rates, stringent rules, and grueling paperwork process, many doctors are refusing to accept Medicare's payment for services. Medicare typically pays doctors only 80% of what private health insurance pays.
Do doctors treat Medicare patients differently?
Many doctors try to help out patients who can't afford to pay the full amount for an office visit or the copay for a pricey medication. Now along comes a study suggesting that physicians in one Texas community treat patients differently, depending on whether they are on Medicare or have private insurance.
Do all hospitals accept Medicare?
Not all hospitals accept Medicare, but luckily, the vast majority of hospitals do. Generally, the hospitals that do not accept Medicare are Veterans Affairs and active military hospitals (they operate with VA and military benefits instead), though there are a few other exceptions nationwide.
Add your favorite providers
Keep a list of all your favorite providers – Select the button above to find and compare providers. Then, select the heart icon next to any of the providers to add them to your list of favorites.
Not sure what type of provider you need?
Use our provider search tool to find quality data, services offered, and other information for these type of providers:
How to find a doctor in Medicare Advantage?
For Original Medicare’s network, use the physician compare tool on Medicare’s official website. To find your doctor in Medicare Advantage networks, we have the tool for the job.
Can you call a provider before setting an appointment?
Once you have used our tool to find plans accepted by the providers on your list, you can call their facility to make sure before setting any appointments.
Does Medicare have a physician comparison tool?
Alternatively, Medicare’s official website offers a physician comparison tool at no cost.
Do all doctors accept Medicare?
Many doctors accept Medicare’s nationwide network, but if you have a Medicare health plan, then a local network typically applies. In other words, not all Medicare doctors accept all Medicare health plans. Although a doctor or staff may check benefits or file claims, you as the patient must verify coverage before getting health services.
Can you add a preferred provider to Medicare?
With that, you have begun a custom quote. If you add at least one preferred provider, only Medicare plans accepted by your doctor will display.
How to find a doctor who accepts Medicare?
There are a few simple ways to find a doctor who accepts your Medicare plan: 1 Visit physician compare. The Centers for Medicare & Medicaid Services (CMS) has a tool that allows you to look up doctors near you and compare them side-by-side. 2 Check the Medicare website. 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. 3 Check your insurance company provider listings. Medigap and Medicare Advantage are Medicare plans provided through private insurance companies. To find doctors that accept these forms of coverage, you’ll need to check with your selected provider for a listing. 4 Check your network. 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. 5 Ask trusted friends and family members. If you have any friends or family members who also use Medicare, ask them about their healthcare providers. How attentive is the doctor? Does the office handle their requests promptly and with ease? Do they have convenient hours?
Why is it important to verify that your doctor accepts Medicare?
The takeaway. For most people, having a doctor they trust who is located conveniently is an important part of their healthcare. While it is an extra step, it’s important to verify that your doctor accepts Medicare coverage or is in your Part C network to ensure you get the most from your Medicare benefits.
What is Medicare Advantage?
Medigap and Medicare Advantage are Medicare plans provided through private insurance companies. To find doctors that accept these forms of coverage, you’ll need to check with your selected provider for a listing. Check your network. If your Medicare coverage is provided through an insurance provider with a network of doctors and hospitals, ...
What is the most important factor to consider when choosing a Medicare plan?
When choosing a Medicare plan, one important factor to consider is finding doctors who accepts Medicare near you. No matter if you are looking for a clinic, hospital, new doctor, or if you just want to keep the doctor you’ve been seeing, finding out who takes Medicare is important. It all comes down to doing a little research before you schedule ...
What is CMS doctor compare?
Visit physician compare. The Centers for Medicare & Medicaid Services (CMS) has a tool that allows you to look up doctors near you and compare them side-by-side.
Can you use out of network doctors on Medicare Advantage?
If your Medicare Advantage plan is a Preferred Provider Organization (PPO), you’ll typically have a bit more freedom to choose your preferred physicians. There is still a network, but you’ll pay less if you use in-network doctors and more if you use out-of-network doctors.
What is Medicare.gov?
Medicare.gov makes it easy to find and compare nearby health care providers, like hospitals, home health agencies, doctors, nursing homes and other health care services that accept Medicare.
What services do home health agencies offer?
Find home health agencies that offer the services you need, like nursing care, physical therapy, and occupational therapy.
What is a doctor in Medicare?
A doctor can be one of these: Doctor of Medicine (MD) Doctor of Osteopathic Medicine (DO) In some cases, a dentist, podiatrist (foot doctor), optometrist (eye doctor), or chiropractor. Medicare also covers services provided by other health care providers, like these: Physician assistants. Nurse practitioners.
What is original Medicare?
Your costs in Original Medicare. In Original Medicare, this is the amount a doctor or supplier that accepts assignment can be paid. It may be less than the actual amount a doctor or supplier charges. Medicare pays part of this amount and you’re responsible for the difference. for most services.
How to find out how much a test is?
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like: 1 Other insurance you may have 2 How much your doctor charges 3 Whether your doctor accepts assignment 4 The type of facility 5 Where you get your test, item, or service
Where is the Centers for Medicare and Medicaid Services located?
The Centers for Medicare & Medicaid Services is headquartered in Woodlawn, Maryland.
How do I apply for medicare?
Where do I go to apply for Medicare? 1 Your local Social Security office#N#Use the instructions above to locate your nearest Social Security office. 2 Online computer#N#Go to www.SocialSecurity.gov and follow the instructions to enroll in Medicare. 3 Over the phone#N#Call Social Security at 1-800-772-1213 (TTY 1-800-325-0778) to enroll in Medicare over the phone.
What is Medicare office?
A Medicare office is the place to manage your benefits. Locate a Medicare office near you and learn how to utilize Medicare services online or over the phone. The Centers for Medicare and Medicaid Services (CMS) oversees and manages Medicare, and the Social Security Administration (SSA) works with CMS to help enroll Medicare beneficiaries.
What is the number to call Medicare?
The official phone number for Medicare is 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048. You may call Medicare 24 hours per day, 7 days per week, and help is available in both English and Spanish. Check the status on a claim that has been filed on your behalf.
Where is the CMS office?
You can get help with your Medicare questions by contacting or visiting this office. The CMS headquarters is in Woodlawn, Maryland, and regional CMS offices are located in Washington, D.C., Boston, New York, Philadelphia, Atlanta, Chicago, Dallas, Kansas City, Denver, San Francisco and Seattle.
Can you replace a lost Medicare card?
Replacing a lost or stolen Medicare card. Medicare fraud can happen as a result of a lost or stolen card, so be sure to call if you lose your Medicare card. You may also speak to someone in person regarding your Medicare eligibility or enrollment by visiting your local Social Security office.
How to contact Medicare if you have other insurance?
Tell us if you have other health insurance so we can pay your claims properly. Call Medicare’s Benefits Coordination & Recovery Center (BCRC) at 1-855-798-2627. TTY users can call 1-855-797-2627. Check how Medicare works with your other insurance.
What does Medicare cover?
Check if Medicare covers your test, item, or service. Or, download our "What's covered?" mobile app to your smart phone or tablet to quickly find covered services. If something isn't covered, talk to your doctor or other health care provider about why you need it.
What medical equipment is ordered by your doctor for use in the home?
Certain medical equipment, like a walker, wheelchair, or hospital bed, that's ordered by your doctor for use in the home.
What is part A in health insurance?
Part A (Hospital Insurance) helps cover inpatient care in a hospital, skilled nursing facility care, hospice care, and some home health care.
Can you be billed for more than Medicare deductible?
If they do, you won’t be billed for more than the Medicare deductible and coinsurance.
Can you get emergency care if you are not in network?
You can always get emergency care and urgent care when needed, even if the doctor or hospital isn’t “in-network.”
Does Medicare Advantage cover dental?
Medicare Advantage Plans must cover all of the services that Original Medicare covers, and may offer some extra benefits — like vision, hearing, and dental services .
