Best Orthopedic Doctors That Will Accept Medicare (2024)

Many Medicare recipients aren’t clear about which doctors accept it and exactly what’s covered. Medicare works much like any health insurance plan and has coverage rules and restrictions. Not all doctors accept it, but there are plenty of orthopedic doctors that accept Medicare out there.

Often, your primary care doctor can be an excellent resource for finding specialists. To help you find a physician, check out our guide, Best Primary Care Doctors That Will Accept Medicare.

Orthopedic doctors treat injuries to bones and joints. This type of care is typically covered under Medicare Part B, which is also part of a Medicare Advantage plan. If you’re confused, we can help. Read on to find out about orthopedic coverage with Medicare.

You might also want to look into how a Medigap plan would help by reading, What are Medicare Supplement Insurance Plans (Medigap)?

To find better coverage for orthopedic doctors that accept Medicare in your area, type your ZIP code in the free tool above.

Orthopedic Doctors that Accept Medicare

Orthopedic doctors specialize in any injury related to the musculoskeletal system. This system is made up of bones, joints, nerves, ligaments, and tendons.

Medicare Part B covers medically necessary outpatient services and will cover orthopedic needs. Coverage under Medicare Part B includes up to 80% of the cost of an orthopedic visit. A Medicare Supplement plan can cover out-of-pocket costs like coinsurance.

In order to qualify for orthopedic care under Medicare, your doctor must deem your injury or condition medically necessary.

Learn more by reading, What is the maximum out-of-pocket expense with Medicare?

Read more: Does Medicare cover back surgery?

Medicare Advantage Plan Insurance for Orthopedic Doctors

Medicare Advantage Plans are offered by most of the standard health insurance providers. They cover everything covered by Parts A and B, along with some additional benefits.

Aetna, Blue Cross Blue Shield, Humana, United Healthcare, and Cigna are among the top-rated providers specifically for orthopedic services and orthopedic doctors that accept Medicare.

Of course, there are other health insurance providers with Medicare options like Molina Healthcare and Tufts Health Plan Medicare for New England dwellers.

Health Insurance Companies That Offer HMO and PPO Options for Medicare Plan C

All five health insurance providers offer HMO (Health Management Organization) and PPO (Preferred Provider Organization) options for Medicare Part C.

The major difference between HMO and PPO provider options is your choice in where one can go to receive care.

Those with a Medicare Advantage HMO plan can choose from a list of in-network providers. If you have a PPO Medicare Advantage plan, the list of providers opens up to you.

A PPO plan means more flexibility with your choices. You can remain in-network or find an orthopedic doctor out-of-network. With a PPO plan, your out-of-network costs will most likely be covered, but at a lower rate.

For a comprehensive overview of health insurance plans, read our, How to Buy Health Insurance Guide.

How to Find a Medicare-approved Orthopedic Doctor Near You

Finding the right Medicare orthopedic doctor can be a quick and easy process. A simple Google search for “orthopedic doctor that takes Medicare near me” can result in a number of results. You can also search the Medicare provider network.

Depending on which Medicare plan you have, you need to determine if the orthopedic doctor you’ve found is:

• Medicare-enrolled
• Accepting new Medicare patients
• Is in your Medicare Advantage Plan network, if you have one

You can get affordable coverage for orthopedic doctors that accept Medicare in your area by entering your ZIP code in the free tool below.