Best Gynecologists That Will Accept Medicare (2024)
When it comes to gynecologists that accept Medicare, there are a variety of different ways in which you can find coverage for yourself. Since most gynecologists accept Medicare as a form of insurance, you should be fine going to your local provider. It is always best to do research beforehand, because some gynecologist will opt-out from the doctors who accept Medicare assignment.
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Diego Anderson
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Diego Anderson is a Real Estate Agent based in the Bay Area of California. Having received his Real Estate License at the age of 18, he wasted no time learning the ins and outs of the industry. With a focus on residential dual agency, he has a passion for supporting and educating families on their home buying and selling decisions. He is no stranger to new builds and new developments. He also r...
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UPDATED: Oct 24, 2024
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Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.
UPDATED: Oct 24, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Most gynecologists accept Medicare as a form of insurance
- When it comes to Medicare, there are a few different types that you can choose coverage from
- Sometimes your gynecologist will opt-out from Medicare coverage, but you are still able to see them, just at a higher cost to you
When searching for gynecologists that accept Medicare, it can become a bit of a headache to sift through all the different networks and find a local provider near you with positive reviews, only to find out that your gynecologist doesn’t accept Medicare.
Health insurance, in general, has become a difficult task that not many people want to undertake, especially when it comes to routine procedures. Gynecology, regardless of age, is a necessary service that all women need at some point in their lives.
Whether it be for routine check-ins, family planning, or cancer screenings, gynecological services are a must.
Keep reading below to find out which gynecologists that accept Medicare are and how to find them in your area. Enter your ZIP code above to start comparing Medicare quotes today.
Where can I find a Medicare OB GYN near me?
Thankfully, many doctors today take Medicare as a form of insurance.
As long as your current doctor accepts Medicare, you should be able to see them and receive coverage and treatment for your visit. However, if they decide in the future to no longer accept Medicare, you will need to find another provider.
Of course, you are free to see a doctor even if they don’t accept Medicare, but you may be charged with a higher rate for your visit and any services you receive. By choosing a gynecologist who accepts Medicare, you’ll ensure that you are charged a negotiated and acceptable rate for your care.
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Finding Doctors Who Accept Medicare Assignment
Understanding health care deductibles will help in determining which gynecologist you will be able to see in your area. As stated before, many doctors (including gynecologist) accept Medicare as a form of insurance.
Your coverage will be determined based on which plan you choose and what doctors are in the provided networks that are available.
Medicare Coverage
Medicare Coverage Plan | Deductible | More Info |
---|---|---|
Part A: Premium | Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A") | You'll pay up to $471 each month; if you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $471; if you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $259 |
Part A: Hospital Inpatient Deductible and Coinsurance | $1,484 deductible for each benefit period | Days 1-60: $0 coinsurance for each benefit period Days 61-90: $371 coinsurance per day of each benefit period Days 91 and beyond: $742 coinsurance per each 'lifetime reserve day' After day 90: For each benefit period (up to 60 days over your lifetime) |
Part B: Premium | The standard Part B premium amount is $148.50 (or higher depending on your income) | Higher premiums may apply if your income exceeds certain thresholds. |
Part B: Deductible and Coinsurance | $203 deductible for benefit period | After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services. |
Part C: Premium | The Part C monthly premium varies by plan | Some plans may offer $0 premiums, but costs depend on location and specific coverage options. |
Part D: Premium | The Part D monthly premium varies by plan (higher-income consumers may pay more) | Premiums vary by plan and income level. Higher-income beneficiaries may have an Income Related Monthly Adjustment Amount (IRMAA) added to their premium. |
Medicare’s Part B coverage covers annual wellness visits as a part of the Well Women’s Exam.
Medicare covers these exams once every 24 months; and if you are considered high risk for cervical cancer, or have had any abnormal tests results in the last 36 months, Medicare will cover these exams once every 12 months.
Personal health history, history of STDs/abuse, or abnormal pelvic results within the last seven years will all qualify you for the annual Medicare coverage.
But, you may be asking, where can I find OBGYN doctors that accept Medicare near me?
There are a few ways that you can research where to find the appropriate doctors who accept Medicare assignment:
- Search Physician Compare: the Centers for Medicare & Medicaid Services (CMS) has a tool that allows you to look up doctors near you and compare them side-by-side
- Search the Medicare website: the official Medicare website has many resources for finding providers and facilities that accept Medicare near you.
- Insurance company provider listings: Medigap and Medicare Advantage are Medicare plans provided through private insurance companies; to find doctors that accept these forms of coverage, you’ll need to check with your selected provider for a listing
- Check within your network: if your Medicare coverage is provided through an insurance provider with a network of doctors and hospitals — check with the company to be sure your doctor is in their network (this can be done by calling your insurance provider or checking their website)
- Ask any trusted friends or family members: if you have any friends or family members who also use Medicare, you can ask them about their own providers
If you live in a state where gynecologists who accept Medicare are in short supply, you may find that it is best to use a health center or a community clinic as your best option.
Read more: What is the Medicare tax rate?
Best Gynecologists That Will Accept Medicare: Key Takeaways
For most women, having a gynecologist that you can trust, who is also located conveniently near you, is an important part of healthcare. While it is an extra step, it’s important to verify that your gynecologist accepts Medicare coverage as a form of insurance.
Since most doctors accept Medicare as a form of insurance, you shouldn’t have a problem finding a provider within your network.
Now that you’ve learned about gynecologists that accept Medicare, take the time to enter your ZIP code into a free and easy-to-use tool to start comparing Medicare quotes in your area.
Frequently Asked Questions
What is Medicare?
Medicare is a federal health insurance program for individuals who are 65 years or older, people with certain disabilities, or people with end-stage renal disease.
How do I find a gynecologist that accepts Medicare?
You can search for a gynecologist that accepts Medicare by visiting the Medicare.gov website and using the “Find Doctors & Other Health Professionals” tool. You can also contact your local Medicare office or call 1-800-MEDICARE for assistance.
What should I consider when choosing a gynecologist that accepts Medicare?
When choosing a gynecologist that accepts Medicare, you should consider their experience, reputation, and location. You may also want to consider whether they have any specialties or areas of expertise that are particularly relevant to your healthcare needs.
Are there any resources available to help me compare gynecologists that accept Medicare?
Yes, you can use the “Physician Compare” tool on the Medicare.gov website to compare gynecologists that accept Medicare. This tool provides information on the physician’s education, experience, and specialty areas.
Can I change my gynecologist if I am not satisfied with their care?
Yes, you can change your gynecologist at any time if you are not satisfied with their care. However, it is important to choose a new gynecologist that accepts Medicare and to ensure that any necessary referrals are made by your primary care physician.
What services are covered by Medicare for gynecological care?
Medicare covers a wide range of gynecological services, including annual wellness visits, pelvic exams, Pap tests, mammograms, and certain diagnostic tests and treatments for gynecological conditions. However, coverage may vary depending on your specific healthcare needs and Medicare plan.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
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Diego Anderson
Licensed Real Estate Agent
Diego Anderson is a Real Estate Agent based in the Bay Area of California. Having received his Real Estate License at the age of 18, he wasted no time learning the ins and outs of the industry. With a focus on residential dual agency, he has a passion for supporting and educating families on their home buying and selling decisions. He is no stranger to new builds and new developments. He also r...
Licensed Real Estate Agent
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.