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Have you decided to sign up for a Medicare Advantage plan? If there’s a provider network that you’re supposed to use, you might be wondering how to find a doctor who accepts your Medicare Advantage plan. It’s not hard to do – keep reading to learn how.
Not every Medicare Advantage plan requires you to use doctors in its provider network, but many of them do. Some Medicare Advantage plans let you go outside the plan network, but might charge you a higher coinsurance amount or copayment.
Some types of Medicare Advantage plans that might have provider networks are listed below. Check your plan information to see details and rules about coverage, including whether you need to use only doctors who accept your Medicare Advantage plan.
Here’s a list of some common types of Medicare Advantage plans and whether they limit you to plan network providers.
There are other types of Medicare Advantage plans as well; some may have provider networks where you might need to find a doctor who accepts the Medicare Advantage plan.
There are a few different ways to find doctors who accept your Medicare Advantage plan. For example:
Again, check your plan information to see if you need to find a doctor in the plan’s network.
Want to compare plans right away? Click the Find Plans button on this page to get started.
*Out-of-network/non-contracted providers are under no obligation to treat Preferred Provider Organization (PPO) plan members, except in emergency situations. For a decision about whether the plan will cover an out-of-network service, you or your provider are encouraged to ask for a pre-service organization determination before you receive the service. Please call the plan’s customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.
eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. The purpose of this site is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. eHealth and Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. We offer plans from a number of insurance companies.