How to Find a Medicare Doctor

When you have Medicare, the first step to finding a primary care doctor is to make sure they accept your insurance.It can take some effort to find a great Medicare doctor, but it’s worth it—you want to partner with a healthcare provider who understands your needs, who is easy to make an appointment with, and who, of course, accepts Medicare. Read on to get some tips of what to look out for in a Medicare doctor.

How Can I Find Medicare Doctors Near Me?

Whether you’re new to Medicare or have had this plan for a long time, it’s important to find a doctor near you who accepts your insurance. This will keep your healthcare costs down.

If you choose to visit Oak Street Health, which has 10 senior primary care facilities in Philadelphia, you don’t have to worry about whether the doctors and other healthcare providers you see accept Medicare—everyone here does. We also accept Medicaid and Medicare Advantage plans.

Medicare Doctor Search

To find doctors who accept Medicare near you, visit medicare.gov and search for nearby doctors and clinicians. With this tool, you can also find hospitals, nursing homes, home health services, hospice care, inpatient rehab facilities, long-term care hospitals, and dialysis facilities that take Medicare.

If you have Medigap or Medicare Advantage coverage, which are private Medicare insurance plans, you can check with your insurance company for a list of approved providers.

You can also call any healthcare provider near you to ask whether they accept Medicare.

How to Find a Primary Care Doctor

Finding a primary care doctor who accepts Medicare is the first step. Next, you need to choose someone on the list who will be a good fit for you. Ask your friends and family if they have recommendations. You can also ask other healthcare professionals you know, such as your pharmacist or dentist. They may be able to suggest doctors in your area.

When making your decisions, some factors you may want to consider include location, area of expertise, and wait time for appointments.

Am I Eligible for Medicare?

In general, Medicare is available for adults age 65 and older, although there are some exceptions for people who are younger and have disabilities.

You’re automatically enrolled in Medicare Parts A and B when you turn 65 if you’re receiving Social Security or Railroad Retirement Board benefits. Otherwise, you have to sign up for Medicare. To avoid paying a penalty, sign up during the seven-month period that begins three months before you turn 65. If you don’t sign up during this Initial Enrollment Period, you can enroll between January 1 and March 31 each year, with coverage beginning July 1.

If you choose to visit Oak Street Health, which has 10 senior primary care facilities in Philadelphia, you don’t have to worry about whether the doctors and other healthcare providers you see accept Medicare—everyone here does. We also accept Medicaid and Medicare Advantage plans.

How Medicare Works

There are four parts to Medicare:

  • Part A covers inpatient hospitalization, hospice care, short-term care in a skilled nursing facility, and home health services.
  • Part B covers outpatient services, such as doctor visits, ambulatory surgery, and durable medical equipment, and home health services.
  • Part C, or Medicare Advantage, is known as an all-in-one insurance. It’s the managed care form of Medicare run by private insurance companies. It covers the same services as Parts A and B, except for hospice care and participation in clinical research studies.
  • Part D covers prescription drugs, including many recommended vaccines.

Understanding Your Medicare Benefits

It can be difficult to understand health insurance benefits. That’s why at Oak Street Health in Philadelphia, we have a team of patient relations managers who are experts in Medicare. They can help you navigate issues related to your insurance options and bills. They can also refer you to local insurance agents who can help you figure out which kind of coverage makes the most sense for your situation.

Make the Most of Your Medicare Doctor Visit

Once you find a doctor who accepts Medicare, schedule an appointment! Seeing your Oak Street Health primary care doctor when you aren’t sick might seem counterintuitive. But an annual wellness visit can help you stay your healthiest. It’s a chance for you and your provider to talk about preventing disease or catching it early, when treatment works best. Often, there’s not enough time to fully discuss these issues during other appointments.

The information provided above will be used by Oak Street Health to contact you to schedule an appointment. Learn more about how Oak Street Health uses your information.

Scheduling Regular Visits

Annual wellness visits are covered by Medicare Part B. The first year you have Medicare, you have a similar benefit, called the “Welcome to Medicare” preventive visit. After that, you can schedule an annual visit once a year. There’s no cost to you, and the payoff can be huge.

If you have any questions about whether an annual wellness visit is covered under your insurance plan, fill out this form or give us a call at (888) 386-0845.