How to Find Doctors Who Accept Medicare

Now that you've retired, your years of hard work have entitled you to coverage under the nation's Medicare program. When your physician agrees to accept Medicare, he accepts their allowed amount as full payment. You are not responsible for anything over the approved amount. Health insurance through Medicare is a great benefit for retired and disabled Americans. However, finding a doctor who accepts Medicare may be a challenge. The American Medical Association reports that potential cuts to provider reimbursement could cause some physicians to stop participating in the Medicare program.

Instructions

    • 1

      Start early and look for a physician before you are eligible for Medicare. There may be a delay before you can schedule your first office visit. Finding a doctor in advance will ensure that there's no break in your medical treatment.

    • 2

      Talk with your current doctor. Ask if he would continue to treat you as a Medicare patient. Even if your physician is not accepting new Medicare patients, he may be willing to continue your doctor-patient relationship. If he's not willing, ask him to recommend a doctor who does accept Medicare.

    • 3

      Ask people you know. Word of mouth can often be one of your best resources. You may find a doctor who accepts Medicare through a recommendation from a friend, relative or acquaintance.

    • 4

      Check other sources, such as your local hospital's referral service. They can connect you with one of their Medicare physicians. Also check with the American Medical Association or your state's medical society for names of physicians who may participate in the Medicare program.

    • 5

      Go to Medicare's website (see References). The U.S. Department of Health & Human Services suggests checking Medicare's Healthcare Provider Directory. You can search for a provider by type, location, gender and last name. Be sure to click the button next to the phrase "Yes, only show providers who accept the Medicare-approved amount as payment in full."

    • 6

      Call 800-MEDICARE (800-633-4227) and ask about medical practitioners in your area who participate in the Medicare program. Phone representatives can also answer any questions you may have about Medicare coverage and claims.

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