Posted by Rolando Arellano, J.D.
Estimated Reading Time 57 seconds
Medicare and Your Doctor: Ensuring Your Physician is in Network
When enrolling in Medicare, ensuring that your preferred doctor is covered under your plan is essential for uninterrupted medical care. Here’s how you can confirm your doctor’s network status and avoid unexpected medical costs.
Check Your Medicare Plan
Original Medicare (Parts A & B) allows you to visit any doctor who accepts Medicare, while Medicare Advantage (Part C) plans have specific networks. Contact your provider to confirm coverage.
Use Medicare’s Physician Finder Tool
The Medicare.gov website provides a search tool that helps beneficiaries locate doctors who accept Medicare.
Contact Your Doctor Directly
Before making an appointment, call your physician’s office to verify whether they accept your Medicare plan.
Understand Out-of-Network Costs
If your doctor is out of network, you may face higher out-of-pocket expenses or need to find an alternative provider within your plan’s network.
Review Your Plan Annually
Medicare Advantage networks can change yearly. Review your plan to ensure it still includes your preferred doctors.
Being proactive about confirming your doctor’s Medicare status helps you avoid surprises and ensures continuity of care without unnecessary expenses. Work closely with one of our licensed insurance agents during your initial enrollment and each year thereafter during the Annual Election Period, and we will help you identify your needs and match with a plan that fits your circumstances.
AYA & Associates Senior Benefits AdvisorsProviding Predictable Protection in Retirement
- To speak with a licensed insurance agent, call (559) 343-2333
(TTY 711, M-F 9am-5pm)
- CA License #OG28650
Have You Watched Our Medicare Essentials Video Quick-Course?
This video tutorial covers the basic elements of Medicare in a format that is easy to understand and you can watch it from the comfort of home! It’s yours at no cost and no obligation, just tell us where we should send it!
Get Free Assistance
Friendly, licensed professionals are available to answer all of your questions at no cost to you. Call (559) 343-2333 or complete the form below and we’d be happy to reach out to you.