How do I find a doctor who accepts Medicare?

Doctor discussing results with patient

If you’re new to Medicare or searching for a new doctor who accepts Medicare, you’ll find several easy resources to guide your decision.

 

According to the Centers for Medicare & Medicaid Services, 98% of primary care doctors accept Medicare. This gives consumers even more options and greater access to care when searching for a Medicare doctor.

Know your current insurance

Before you begin your search, review your current policy and coverage.

 

1)     Do you have Original Medicare?

2)     Medicare Advantage plan?

3)     Do you have a Medigap plan?

 

Why does the plan type matter? Because with some plans like a Medicare Advantage plan, you’ll need to be aware of the network rules when choosing a doctor. With Original Medicare (Part A and B), you can choose a doctor regardless of any network. If a doctor is part of your plan or accepts Medicare, the doctor must also accept the Medigap plan.

Helpful resources

Online resources are not only convenient, but these tools may also allow you to search by locations, specialties, physician groups, board certification, or training. If you prefer to speak to someone in person, that’s an option as well.

Let’s look at a few of the most common ways to find a doctor with Medicare.

Medicare’s Physician Compare tool lists doctors. This site also has search tools for supplies and medical equipment.

 

The American Medical Association’s online search tool allows seniors to learn more about a doctor's board certification and training. 

 

American Board of Medical Specialties (ABMS) handles certifications for doctors. You can view and verify credentials here.

Connecting offline

If you prefer to speak to someone directly, think about your local networks as your first stop. If you have a private MA plan, you can contact your insurance provider for guidance. Other sources could be local hospitals, friends, family or local medical societies.

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Content contained on this page is for informational purposes only and does not constitute medical advice. Consult your health care provider before beginning any new fitness or dietary plan. References provided are for informational purposes only and do not constitute endorsement of any websites or other sources. Should you have any health-related questions, you should contact your health care provider.

 

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