Finding a Medicare doctor can be simpler than you think
When you’re eligible for Medicare and seeking a new doctor, the process can seem overwhelming. We’re here to help.
NewPrimaryCare.com offers a way for Medicare-eligible adults to find the approved value-based care providers they’re looking for. You can easily search for a Medicare doctor in your area, find out what insurances are accepted, and get answers to your questions.
Get started on your 2022 Medicare doctor search with NewPrimaryCare.com.
How to Start Your Medicare Doctor Search
You’ll need some basic information to start your Medicare doctor search:
- The kind of doctor you’re looking for
- The health care plan you’re working with
- Your location
Once you have these particulars, NewPrimaryCare.com can help you narrow down your choices.
What kind of doctor?
To find a doctor who accepts Medicare, it helps to have an idea in mind of the type of doctor you’re looking for.
Do you need a primary care doctor (PCP) who can handle your everyday medical needs? Or are you searching for a specialist or expert for a particular condition?
Consider what is important to you in a medical care provider:
- Are you looking for appointment availability?
- More time with your doctor?
- Someone who specializes in caring for seniors?
- A doctor who’s looking out for your whole well-being?
What kind of health plan?
You’re probably seeking value-based care: a healthcare model that incentivizes doctors based on their patients’ outcomes. It’s a great way to ensure that your doctor is looking out for you, not just their bottom line.
To find the right doctor, you need to know what kind of plan you have: Original Medicare, or Medicare Advantage? What type of plan?
- Health Maintenance Organization (HMO)
- Preferred Provider Organization (PPO)
- Private Fee-For-Service Plan (PFFS)
- Special Needs Plan (SNP)
Depending on the plan you have, you may need to choose a Primary Care Physician (PCP). Our doctor lookup tool can help you find this type of doctor, who will provide you with your primary care.
Where are you located?
Of course, your location will determine the best care nearby. That’s why NewPrimaryCare.com ensures that you can do a detailed search by ZIP code to find the right kind of care near you.
What Insurances Are Accepted?
If you’re eligible for Medicare, you can still use other insurance. You may be covered by a current or former employer, your spouse’s employer, or another health insurance plan. Each coverage is considered a “payer” in the world of Medicare, and the way your care is covered depends on your unique blend of health care coverage, including Medicare. Many of our provider partners accept Original Medicare, Select Medicare Advantage Plans and Medicare Supplements.
Frequently Asked Questions (FAQs)
Do all doctors have to take Medicare?
Although most doctors accept Medicare, not all do. Some providers choose to opt out of the Medicare system. If that’s the case with your provider, you can find a new doctor who does accept Medicare. This can lower your out-of-pocket costs.
How do I find a doctor if I have Medicare Advantage?
If you have Medicare Advantage, you can choose the doctor you like, but they may need to be in your network plan. For example, if you have a Medicare Advantage HMO, you may need to find an approved primary care provider, while a PPO may offer lower costs for using an in-network provider. Consulting your plan will help you understand the plan’s rules so you can search for the right doctor.
Am I required to choose a primary care doctor if I have Medicare?
You’re not required to choose a PCP if you have Original Medicare, but you may need to have a PCP for Medicare Advantage plans. PCPs help you coordinate your care, especially if you are dealing with multiple issues or providers.
What if I already have a PCP but they don’t take Medicare?
If you’re looking to keep your costs down and take advantage of your Medicare health plan, you can choose to change your PCP to one who accepts Medicare. NewPrimaryCare.com will help you find a provider near you.
What if I simply want to find a new doctor?
It’s simple to change Medicare doctors. Search for a new provider who meets your needs and is located nearby.