How to Check Whether Your Doctor Accepts Your Medicare Plan

Identify the exact coverage

Have the plan’s full name, plan year, and identifying number ready. If you use Original Medicare, ask whether the doctor accepts Medicare and assignment. For Medicare Advantage, ask about the specific network and plan.

Check both the directory and the office

• Search the insurer’s current provider directory
• Match the physician’s name, specialty, and practice address
• Ask the office about the exact plan and whether it accepts new patients
• Confirm the hospital or facility separately
• Record the date, source, and any confirmation number

Recheck before important care

Participation can change. Ask about referrals, authorizations, and any other providers involved in a procedure. A network match alone does not guarantee that a particular service is covered.