Top Family Doctors That Accept Medicare [2024]
You should not encounter much of a problem finding family doctors that accept Medicare. More than 90% of general practitioners and family doctors accept Medicare plans in their offices. Original Medicare plans will require that you pay 20% of the fees associated with visits to your family doctor after you meet the Medicare Plan B deductible. Medicare Advantage plans may differ when it comes to deductibles and copays.
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Kristen Gryglik
Licensed Insurance Agent
Kristen is a licensed insurance agent working in the greater Boston area. She has over 20 years of experience counseling individuals and businesses on which insurance policies best fit their needs and budgets. She knows everyone has their own unique needs and circumstances, and she is passionate about counseling others on which policy is right for them. Licensed in Massachusetts, New Hampshire,...
Licensed Insurance Agent
UPDATED: Nov 8, 2023
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Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance providers please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
Editorial Guidelines: We are a free online resource for anyone interested in learning more about auto insurance. Our goal is to be an objective, third-party resource for everything auto insurance related. We update our site regularly, and all content is reviewed by auto insurance experts.
UPDATED: Nov 8, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance providers please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- More than 90% of primary care physicians accept Medicare as a form of health insurance
- If you have Original Medicare, you will likely be responsible for 20% of the fees associated with a family doctor once you’ve met your Medicare Plan B deductible
- Your rates and copays with a Medicare Advantage plan may vary
If you are 65 or older and are on Medicare, you may be curious about family doctors that accept Medicare.
Most family doctors and their practices accept Medicare as a form of insurance coverage. You may be looking for primary care doctors that accept Medicaid and Medicare. If so, you can always do research online to learn more about Medicare doctors in your area.
And you may be wondering, “Is there a primary care physician that accepts Medicaid and Medicare near me?” In all likelihood, there are multiple doctors near you that accept your Medicare coverage.
If you want to compare health insurance quotes to see about getting affordable Medicare insurance that covers family doctors, you may want to look into Medicare Advantage plans.
Because Medicare Advantage companies that cover family doctors are private insurance companies, rates and specifics vary from one company to the next.
You can also compare rates from Medicare Supplement plans that cover family doctors to see if any options sound like the right fit.
You can use our free tool above to compare Medicare insurance quotes that cover family doctors and see if Medicare Advantage or other Medicare Supplement options would work for you.
Does Medicare cover family doctors?
You will probably not have a hard time finding a family doctor that accepts your Medicare plan.
Around 93% of primary care physicians accept Medicare in their offices. If you are looking for a family doctor or general practitioner, the odds are certainly in your favor.
While it’s never a bad idea to have a primary care physician that you call your own, an Original Medicare plan does not require that you claim one doctor as your primary physician.
Medicare Advantage plans may require that you label your primary doctor as the overseer for your health care needs. So check with an agent if you have any questions concerning your Medicare Advantage plan.
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How can I find doctors accepting Medicaid near me?
If you are on Medicaid, you may have a harder time finding physicians who accept your coverage.
Because less than 50% of primary care physicians accept Medicaid, you will need to do your homework before you set up any appointments.
If you’re wondering what doctors might work best for you with Medicaid, you can either do some research online or speak with an agent to find out who near you would be considered in-network.
What if I see a doctor who doesn’t accept Medicare?
When you find a doctor who accepts Medicare, you will be responsible for 20% of the fees associated with your visit under Medicare Plan B after you’ve hit your deductible.
If you see a doctor who is not in-network with your Medicare plan, you will have to pay for your visit out of pocket.
In some instances, paying to see a physician out of pocket is not a bad idea — especially if it’s a single visit with a specialist that Medicare will not cover.
But there really is no need for you to pay more for a primary care physician when there are so many that accept your Original Medicare or Medicare Advantage plan.
If you feel like your Medicare plan does not cover the doctors you’d like to see, or you believe your health insurance costs too much, you can always shop around for health insurance coverage that offers better options for family doctors.
In fact, you can use our free quote tool below to compare rates before you buy Medicare insurance that covers family doctors.
Frequently Asked Questions
How can I find a list of top family doctors that accept Medicare?
There are several ways to find a list of top family doctors who accept Medicare. Here are a few options:
- Medicare.gov: Visit the official website of Medicare and use their “Physician Compare” tool. This tool allows you to search for healthcare professionals, including family doctors, in your area who accept Medicare.
- Medicare Advantage Plans: If you have a Medicare Advantage plan, you can usually find a directory of doctors who are part of the plan’s network. Check your plan’s website or contact your plan’s customer service for a list of family doctors in your network.
- Referrals and Recommendations: Ask for referrals or recommendations from friends, family members, or other healthcare professionals. They may be able to provide insights into top family doctors in your area who accept Medicare.
- Local Medical Associations: Contact your local medical associations or societies. They often maintain lists of doctors in your area, including those who accept Medicare.
Can I choose any family doctor that accepts Medicare?
Generally, you have the freedom to choose any family doctor who accepts Medicare as long as they are currently accepting new Medicare patients. However, it’s important to keep in mind that certain Medicare plans, such as Medicare Advantage plans, may have their own network of doctors. If you have a specific Medicare Advantage plan, you may need to select a family doctor from the plan’s network to maximize your benefits.
How can I ensure that a family doctor accepts Medicare before scheduling an appointment?
To confirm whether a family doctor accepts Medicare, you can take the following steps:
- Contact the Doctor’s Office: Call the doctor’s office directly and ask if they accept Medicare. They should be able to provide you with this information and clarify any specific Medicare plans they may accept.
- Medicare Physician Compare: Utilize the “Physician Compare” tool on Medicare.gov. Enter the doctor’s name or location to check their Medicare status and if they are accepting new Medicare patients.
- Contact Medicare: Reach out to Medicare directly by calling their toll-free number at 1-800-MEDICARE (1-800-633-4227). The representatives can provide you with information on doctors in your area who accept Medicare.
Are there any additional costs associated with seeing a family doctor who accepts Medicare?
While Medicare generally covers a significant portion of the costs for services provided by family doctors who accept Medicare, there may still be some out-of-pocket expenses. These can include deductibles, copayments, or coinsurance, depending on your specific Medicare plan. It is essential to review your Medicare coverage to understand any additional costs that may apply.
Can I change my family doctor if they no longer accept Medicare?
Yes, if your family doctor stops accepting Medicare, you have the option to find a new doctor who does accept Medicare. You can use the resources mentioned earlier, such as Medicare.gov’s “Physician Compare” tool, Medicare Advantage plan directories, referrals, or local medical associations to find a new family doctor who accepts Medicare. Additionally, you can contact Medicare directly for assistance in finding a new doctor who meets your needs.
Can I switch to a different family doctor within the same Medicare Advantage plan?
In most cases, Medicare Advantage plans have a network of doctors that you must choose from for your healthcare services. If you want to switch to a different family doctor within the same Medicare Advantage plan, you’ll need to check the plan’s rules and guidelines. Some plans may allow you to change your primary care physician (PCP) at certain times during the year, while others may have restrictions on switching doctors. Contact your Medicare Advantage plan’s customer service or review the plan’s documentation to understand the process for changing your family doctor.
Are all family doctors required to accept Medicare?
No, family doctors are not required to accept Medicare. While many family doctors do accept Medicare, it is ultimately up to the individual doctor or practice to decide whether they want to participate in the Medicare program. It’s essential to check with the doctor’s office or use the resources mentioned earlier to verify if a specific family doctor accepts Medicare before scheduling an appointment.
Can I see a specialist referred by my family doctor under Medicare?
Yes, Medicare generally covers specialist visits when they are referred by your family doctor. However, it’s important to note that some Medicare plans, such as certain Medicare Advantage plans, may require you to obtain a referral from your primary care physician before seeing a specialist. It’s recommended to review your specific Medicare plan or contact your plan’s customer service to understand the referral process and any requirements for seeing a specialist.
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Kristen Gryglik
Licensed Insurance Agent
Kristen is a licensed insurance agent working in the greater Boston area. She has over 20 years of experience counseling individuals and businesses on which insurance policies best fit their needs and budgets. She knows everyone has their own unique needs and circumstances, and she is passionate about counseling others on which policy is right for them. Licensed in Massachusetts, New Hampshire,...
Licensed Insurance Agent
Editorial Guidelines: We are a free online resource for anyone interested in learning more about auto insurance. Our goal is to be an objective, third-party resource for everything auto insurance related. We update our site regularly, and all content is reviewed by auto insurance experts.