Best Orthopedic Doctors That Accept Medicare (2024)
When looking for orthopedic doctors that accept Medicare, you'll have plenty of options to choose from. Most doctors accept Medicare as a form of insurance, but some medicare orthopedic doctors have started to "opt-out". If you're worried about whether there are orthopedic doctors near you, there are plenty of tools to help you in your research.
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Scott W. Johnson
Licensed Insurance Agent
Scott W Johnson is an independent insurance agent in California. Principal Broker and founder of Marindependent Insurance Services, Scott brings over 25 years of experience to his clients. His Five President’s Council awards prove he uses all he learned at Avocet, Sprint Nextel, and Farmers Insurance to the benefit of his clients. Scott quickly grasped the unique insurance requirements of his...
Licensed Insurance Agent
UPDATED: May 28, 2023
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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 above to use the free quote tool. The more quotes you compare, the more chances to save.
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: May 28, 2023
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 company and cannot guarantee quotes from any single insurance company.
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 above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- As long as you qualify for one of Medicare’s plans, most (if not all) of your expenses will be covered
- If you are missing qualifications with your Medicare plan, Medigap and Medicaid may be able to help with those extra expenses
- Some orthopedics have begun to “opt-out” of accepting Medicare as a form of insurance, so make sure the doctor you choose still accepts Medicare
Find the Best Orthopedic Doctors Accepting Medicare in Your Area for comprehensive care, advanced treatments, and personalized solutions to address your orthopedic needs. Explore a wide range of specialties, read patient reviews, and make an informed decision about your healthcare provider. Take control of your orthopedic health and find the right doctor to support your journey towards improved mobility and quality of life.
Health insurance is an important part of life. Medicare will help you cover medically-necessary surgeries that might arise as you get older.
Take control of your orthopedic health and find the right doctor to support your journey towards improved mobility and quality of life. Enter your ZIP code now to compare rates and connect with the top orthopedic doctors that accept Medicare near you. Don’t settle for anything less than the best when it comes to your orthopedic care.
Where do I find Medicare orthopedic doctors near me?
Choosing a health insurance plan can be a time-consuming ordeal but could end up saving you thousands in the end.
There are plenty of resources available to help you search for a proper orthopedic doctor in your area.
Places to find an orthopedic that accepts Medicare :
- Hospital for Special Surgery (HSS)
- Medicare Marketplace
- Medicare’s Website
- Medicare Interactive
- Physician’s Compare Tool
- Health Alliance Network
It’s important to find a doctor that accepts Medicare. If your doctor is out of network, you may have some difficulties getting coverage. Medicare doesn’t pay for the care you receive from doctors who decide to “opt-out” of Medicare.
Doctors who do not accept Medicare by “opting-out” will not submit medical claims to Medicare on behalf of their patients. They are not subject to the Medicare laws that limit the amount they may charge patients with Medicare.
Keep in mind that out-of-network/non-contracted providers are under no obligation to treat Preferred Provider Organization (PPO) plan members, except in emergencies.
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What type of Medicare coverage do I need?
There are a few different ways to find doctors who accept Medicare.
First you’ll want to start by choosing an appropriate plan. There are a few different types of Medicare plans that you can choose from.
Types of Medicare Plans
| Plan | Covers | Other Info |
|---|---|---|
| Medicare Part A (Hospital Insurance) | Inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care | |
| Medicare Part B (Medical Insurance) | covers certain doctors' services, outpatient care, medical supplies, and preventive services | |
| Medicare Advantage (Part C/D) | Offer non-emergency coverage out of network, but typically at a higher cost; includes drug coverage | Offered by Medicare-approved private companies that must follow rules set by Medicare |
| Demonstrations/Pilot Programs | Special projects that test improvements in Medicare coverage, payment, and quality of care | Operate only for a limited time for a specific group of people and/or are offered only in specific areas |
| Programs of All-inclusive Care for the Elderly (PACE) | All Medicare and Medicaid covered care and services, and other services that the PACE team of health care professionals decides are necessary to improve and maintain your health; this includes drugs, as well as any other medically necessary care, like doctor or health care provider visits, transportation, home care, hospital visits, and even nursing home stays when necessary | This program helps people meet health care needs in community |
Since Orthopedic care can come with a hefty cost, you’ll want to make sure that whatever plan you choose covers most (in not all) of your expenses.
There will be qualifications to meet with each plan. If you don’t meet certain qualifications, you may need to find additional coverage elsewhere.
Medigap
Medigap is an insurance policy that you can buy from a private company to cover costs that are not covered by Medicare. These costs include copayments and deductibles.
The cost of a Medigap policy depends on what is covered. For example, some policies pay for health care costs when you travel outside the United States.
Medicaid
Medicaid is health insurance for adults who have low income and limited resources. It also covers people who have disabilities.
What do orthopedic doctors cover?
Orthopedic doctors treat a wide variety of conditions, such as:
- bone fractures
- muscle strains
- joint or back pain
- arthritis
- carpal tunnel syndrome
- injuries to tendons or ligaments, such as sprains, tendonitis, and ACL tears
- limb abnormalities, such as clubfoot and bowlegs
- bone cancer
Non-surgical orthopedists can be a great starting point for patients who don’t have a clear diagnosis, and many orthopedic conditions can be effectively treated without surgery.
It’s wise to seek out an orthopedic surgeon if your diagnosis or suspected diagnosis might need surgery.
The best orthopedic doctors that accept Medicare: key takeaways
Many people have a hard time finding the answer to the question: “Where can I find an orthopedic that takes Medicare near me?” While there are plenty of ways to find a reputable orthopedic doctor in your area, it’s important to remember to find a doctor that accepts Medicare insurance.
Since some doctors have started to “opt-out” of accepting Medicare, the cost of any procedures will end up falling back to the patient.
But as long as you find an orthopedic doctor within your Medicare network, you will be covered.
Now that you’ve learned where to find orthopedic doctors that accept Medicare, take the time to enter your ZIP code into our free tool to start comparing health insurance quotes today.
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Frequently Asked Questions
What is Medicare?
Medicare is a federal health insurance program that provides coverage for individuals who are 65 years or older, or have certain disabilities or health conditions.
What are orthopedic doctors?
Orthopedic doctors are medical professionals who specialize in the treatment of conditions related to the musculoskeletal system, including bones, joints, muscles, and tendons.
What should I look for when choosing an orthopedic doctor that accepts Medicare?
When choosing an orthopedic doctor that accepts Medicare, consider factors such as their experience, qualifications, reputation, and communication style. It’s also important to ensure that the doctor is in-network for Medicare to avoid additional out-of-pocket costs.
Are all orthopedic procedures covered by Medicare?
While many orthopedic procedures are covered by Medicare, not all are. It’s important to review your specific Medicare coverage to determine which procedures are covered and to what extent.
Can I see an orthopedic doctor without a referral?
In most cases, you can see an orthopedic doctor without a referral. However, some Medicare Advantage plans may require a referral from your primary care physician or healthcare provider. It’s important to review your specific Medicare coverage to determine whether a referral is needed.
What should I expect during an orthopedic appointment?
During an orthopedic appointment, you can expect to undergo a physical examination and possibly diagnostic tests, such as X-rays or MRIs. The doctor will ask about your medical history, symptoms, and any previous treatments. They will then work with you to develop a treatment plan tailored to your specific needs.
How much does orthopedic treatment cost with Medicare?
The cost of orthopedic treatment with Medicare will vary depending on the specific treatment and the terms of your Medicare coverage. While many orthopedic procedures are covered by Medicare, some may require out-of-pocket costs such as copayments or deductibles. It’s important to review your specific Medicare coverage and discuss any potential costs with your healthcare provider.
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Scott W. Johnson
Licensed Insurance Agent
Scott W Johnson is an independent insurance agent in California. Principal Broker and founder of Marindependent Insurance Services, Scott brings over 25 years of experience to his clients. His Five President’s Council awards prove he uses all he learned at Avocet, Sprint Nextel, and Farmers Insurance to the benefit of his clients. Scott quickly grasped the unique insurance requirements of his...
Licensed Insurance 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.