Shocking Truth: Can Doctors Refuse Medicare? Call us at iHealthBrokers today at 888-410-0344. Our services are 100% Free!

Are you approaching retirement age and wondering if doctors can refuse Medicare? Find out the shocking truth about Medicare denial in this video. We'll cover retirement fears, Medicare premiums, Medigap, and Medicare Advantage

★☆★ABOUT THIS VIDEO★☆★
0:00 Intro
0:20 Medicare Parts
0:41 Original Medicare
2:58 Medigap
7:59 Part D
8:20 Medicare Advantage
9:51 Final Thoughts

Can your doctor actually deny your Medicare coverage? Yes and no, let’s tak about it.

Although it is very unlikely that your doctor would deny Original Medicare, there are several parts to Medicare and that’s where things can get confusing.

Part A
Part B
Part C
Part D
Medigap

Part A and Part B comprise Original Medicare. Truthfully it is highly unlikely that a doctor or hospital would deny your Original Medicare coverage. Original Medicare doesn’t have a network because it is not offered by private carriers. It’s estimated that somewhere around 97% of doctors accept Original Medicare.

So maybe it’s not that your doctor doesn’t accept Original Medicare. Maybe it’s that the specific service isn’t covered.

Now what about Medigap? Medigap is also known as Medicare Supplement Plans. They full in the financial gaps of Original Medicare but do not offer additional benefits. These are offered by private carriers. So, does that mean your doctor might not accept your plan if they aren’t in network for the carrier?

Actually, no!

If your doctor accepts Original Medicare, they accept your Medicare Supplement Plan regardless of who your carrier is.

So, you can pretty much shop your plan based solely on price. Because plan benefits also remain the same regardless of who your carrier is.

But a warning!

Prices do tend to increase on a yearly basis so you want to go with a carrier with a history of low, stable increases as opposed to erratic or dramatic increases. Because remember, after your initial 6 month window, you may be subject to medical underwriting for a Medigap plan which means you could be charged more or denied. So, it’s not usually very easy to switch plans on a yearly basis. A broker can help you with these histories.

I’m going to jump past Part D because these are really prescription drug plans. So your doctor isn’t really going to accept them or not accept them because they don’t have much to do with doctors. That being said, make sure that your prescriptions are included on your Part D formulary to ensure you have coverage.

And now onto the main the event: Medicare Advantage aka Medicare Part C. These are managed care plans that are offered by private carriers. They are a replacement for or alternative to Original Medicare. And this is where things can get a little dicey!
Unlike Medigap plans, your carrier with Medicare Advantage plans matters! And many doctors do not like to contract with Medicare Advantage Plans.

If you are still going to go the Medicare Advantage route, you may want to go with a PPO to provide more flexibility.

If you have any further questions, please feel free to contact us here at iHealthBrokers at 888-410-0344 or [ Ссылка ]


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