Best Orthopedic Doctors That Will Accept Medicare (2024)
Orthopedic doctors that accept Medicare that you can visit depends on whether you have Original Medicare or Medicare Advantage. Medicare does cover orthopedic doctors, although Part B has a 20% coinsurance. A Medicare Supplement plan will help pay your orthopedic doctor's Medicare coinsurance as well as the deductible.
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Michael Vereecke
Commercial Lines Coverage Specialist
Michael Vereecke is the president of Customers First Insurance Group. He has been a licensed insurance agent for over 13 years. He also carries a Commercial Lines Coverage Specialist (CLCS) Designation, providing him the expertise to spot holes in businesses’ coverage. Since 2009, he has worked with many different insurance providers, which gives him unique insight into the insurance market...
Commercial Lines Coverage Specialist
UPDATED: Sep 20, 2024
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UPDATED: Sep 20, 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
- Orthopedic doctors are covered by Medicare Part B insurance or a Medicare Advantage Plan
- Aetna, Blue Cross Blue Shield, Cigna, Humana, and United Healthcare are all top health insurers for affordable orthopedic doctors that accept Medicare
- Patients seeking Medicare orthopedic doctors must have their condition deemed medically necessary
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?
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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
Health Insurance Provider | HMO (Health Management Organization) | PPO (Preferred Provider Organization) |
---|---|---|
Aetna | ✓ | ✓ |
Blue Cross Blue Shield | ✓ | ✓ |
Cigna | ✓ | ✓ |
Humana | ✓ | ✓ |
United Healthcare | ✓ | ✓ |
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.
Frequently Asked Questions
What is an orthopedic doctor?
An orthopedic doctor is a medical specialist who focuses on the diagnosis, treatment, and prevention of conditions and injuries related to the musculoskeletal system, including bones, joints, muscles, tendons, and ligaments.
How can I find the best orthopedic doctor who accepts Medicare?
To find the best orthopedic doctor who accepts Medicare, you can start by asking for recommendations from your primary care doctor, family, and friends. You can also check with your Medicare Advantage plan or visit the Medicare website to search for doctors in your area who accept Medicare. When choosing a doctor, consider factors such as their experience, credentials, reputation, and bedside manner.
What types of orthopedic conditions can Medicare cover?
Medicare can cover a variety of orthopedic conditions and services, including joint replacement surgery, fracture care, spinal surgery, physical therapy, and more. However, coverage may vary depending on the type of Medicare plan you have and the specific services and treatments you need.
Are there any costs associated with seeing an orthopedic doctor who accepts Medicare?
Yes, there may be some costs associated with seeing an orthopedic doctor who accepts Medicare, such as copayments, deductibles, and coinsurance. The amount you pay will depend on your specific Medicare plan and the services you receive.
Can I choose any orthopedic doctor who accepts Medicare?
You can choose any orthopedic doctor who accepts Medicare, but keep in mind that some doctors may not accept new Medicare patients or may not be in-network with your specific Medicare plan. It’s always a good idea to check with the doctor’s office and your Medicare plan to make sure they accept your coverage before scheduling an appointment.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
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Michael Vereecke
Commercial Lines Coverage Specialist
Michael Vereecke is the president of Customers First Insurance Group. He has been a licensed insurance agent for over 13 years. He also carries a Commercial Lines Coverage Specialist (CLCS) Designation, providing him the expertise to spot holes in businesses’ coverage. Since 2009, he has worked with many different insurance providers, which gives him unique insight into the insurance market...
Commercial Lines Coverage Specialist
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.