How to Find Doctors Who Accept Medicare Advantage

When you have Medicare Advantage, 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 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 Advantage. Keep reading for tips on understanding your Medicare Advantage plan, it’s benefits, and how to find the right doctor who accepts your plan.

Understanding Medicare Plans

Medicare has four parts. Original Medicare includes two parts:

  • 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, durable medical equipment, and home health services.

Part D covers prescription drugs. This must be added on to Original Medicare if you want this coverage.

What Is Medicare Advantage?

Medicare Advantage is known as Part C. It’s an “all-in-one” insurance run by private insurance companies and includes all benefits covered under Parts A and B. These plans may have limited provider networks and may require specialist referrals. They may also have premiums, deductibles, and copayments or coinsurance, although annual out-of-pocket costs are capped.

Most plans cover prescription drugs and benefits not covered by Medicare, such as vision, dental, and hearing services.

Can I Choose My Own Doctors on Medicare Advantage?

With Medicare Advantage, you have a choice in which doctors you see, although they do need to be within your plan’s network in order for you to get the most out of your benefits. To find doctors who accept Medicare Advantage near you, 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 Advantage.

Is Oak Street Health on the Medicare Advantage Doctor List?

Oak Street Health specializes in senior primary care. We have more than 100 locations across the country, including 10 centers in Philadelphia. If you choose to make an appointment with us, you don’t have to worry about whether the doctors or other healthcare providers you see accept Medicare Advantage—everyone here does. That includes Medicare Advantage plans from companies like Humana, Blue Cross Blue Shield, and Aetna. We also accept Medicaid and Original Medicare plans.

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.

Are All Medicare Advantage Plans the Same?

No, plans differ and some may be better than others. Medicare Advantage plans are evaluated based on criteria such as customer satisfaction and quality of care. Plans receive between one and five stars, depending on their scores. Five-star plans have the highest scores and are considered excellent. You can compare Medicare Advantage plans in your area on the medicare.gov website.

Understanding Your Medicare Advantage Benefits

Understanding everything that’s involved with Medicare and Medicare Advantage plans can be confusing. That’s why at Oak Street Health in Philadelphia, we have a team of patient relations managers who are experts in Medicare. They are a huge help when it comes to navigating any issues related to your insurance options, bills, and benefits.

If you have questions about finding the best plan, they can refer you to local insurance agents who can help you figure out which kind of coverage makes the most sense for your situation.

With Medicare Advantage, you have a choice in which doctors you see, although they do need to be within your plan’s network in order for you to get the most out of your benefits. To find doctors who accept Medicare Advantage near you, check with your insurance company for a list of approved providers.

Enrolling in a Medicare Advantage Plan

If you already have a Medicare Advantage Plan, the Medicare Advantage Open Enrollment Period runs from January 1 to March 31 every year. During this time period, you can switch Medicare Advantage plans or leave a Medicare Advantage plan and return to Original Medicare. There may be other times of the year when you can add or change plans depending on your circumstances. These are known as Special Enrollment Periods.

Make the Most of Your Medicare Advantage Doctor Visit

Once you find a doctor who accepts Medicare Advantage, schedule an appointment. Seeing an 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.

Oak Street Health has 10 centers in the Philadelphia area that accept Medicare, including:

  • Aramingo
  • Cheltenham
  • Cobbs Creek
  • Fern Rock
  • Germantown
  • Parkside
  • Roosevelt
  • South Philly
  • Strawberry Mansion
  • University City

In addition to our Pennsylvania locations, Oak Street Health also has centers that accept Medicare in 17 other states.

Making an Initial Appointment

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

Remember, an annual wellness visit isn’t likely to cost you anything. There is no copayment, and the usual deductible doesn’t apply. You can’t put a price on health, and in this case, you don’t have to.