Can I keep seeing my current doctors if I switch to a Medicare Advantage plan, or do I have to find new ones?
Answered by 119 licensed agents
Answered by Mary Turner on March 28, 2025
Broker Licensed in FL
Answered by Gary Church on May 27, 2025
Broker Licensed in Ca, AZ, NV & TX
So the question is, can I keep seeing my current doctors if I switch to a Medicare Advantage plan, or do I have to find new ones? Well, that all depends. It depends if your doctors are in the Medicare Advantage network. It depends if they accept Medicare, or specifically, the technical term for it is, do they accept Medicare assignment? If that's true, then you need to find, or if you have a Medicare advisor that you work with that only does Medicare, that's the person that you need to help you find out, because some doctors are in the network, some are not. And it's just a matter of really strategizing what works for you.
Answered by Steve and Sue Brauer on July 30, 2025
Broker Licensed in AZ & CA
Also call your doctor
Answered by Mike Alexander on October 1, 2025
Broker Licensed in TX, AL, AR & 16 other states
Maybe!!!
Your Doctor may today accept your Medicare Advantage plan. You’d have to check with the office to see which they will accept and which they won’t, IF THEY ACCEPT THEM AT ALL!!!
The other concern is EVEN IF he/she accepts them today, with the consistent changes in the Medicare program allowances, your office may elect to NOT accept any MA plans in the future.
So if having your Doctor is a major concern, if choosing any doctor and having the complete control of your health care moving forward is important to you, and that wherever you are in the USA that you have the CHOICE OF YOUR MEDICAL PROFESSIONAL, and to have coverage at the BEST FACILITIES IN THE COUNTRY BECAUSE YOU CAN, then keep your Original Medicare and get the best Supplement plan you can.
During Open Enrollment it is the ONLY TIME you will choose your Medical coverage with NO UNDERWRITING!!! So I encourage you to get it right now!
Answered by Norman Smith on April 27, 2025
Agent Licensed in FL, AL, NJ & PA
Answered by William Lawler on August 2, 2025
Broker Licensed in MO, FL, IA & 12 other states
Answered by Terri Reagin on November 20, 2025
Broker Licensed in OK, AR, CO & 6 other states
Medicare question: If I'm on an Advantage plan and I change to another Advantage plan, can I keep my doctors or do I have to change doctors?
So that's a good question. You can keep your doctors. When we change plans for another Advantage plan, we're going to double-check to see if your doctors are in network. Now, if your doctors are in a network and you're moving for the benefits, then yes, you will have to change your provider that you're working with. Some might be in network, some might not be, but if they're not, then yes, you have to change your doctors.
And there's some plans coming out this year that are really good. They are offering great benefits. Usually, some of the newer companies that come out have decent benefits, really low co-payments, and add some extra perks, which is nice. But the low co-payments are what we're kind of getting after. If you move to one of those, you might have to change your doctor.
But most of the time, as a broker, when we sit down with you, we're going to review your current doctors to see if they're in other plans, and then we're going to find something that kind of works for you. So it's hit and miss. If you have any questions, give us a call or send a broker. We're out to help you out. Have a good day!
Answered by Voss Speros on September 11, 2025
Broker Licensed in AZ, CA, CO & 19 other states
Answered by Bill Wheeler on May 27, 2025
Broker Licensed in KY & IN
Answered by Tony Capraro III on April 3, 2025
Agent Licensed in NH & ME
Answered by Christy Jones on September 2, 2025
Broker Licensed in ID, AL, AR & 20 other states
Answered by Shelly Hefley on September 21, 2025
Broker Licensed in IN, AL, IL, KY & TN
Answered by Justin Doherty on September 26, 2025
Broker Licensed in PA, CO, CT & 11 other states
Answered by Nick Mangini on August 24, 2025
Broker Licensed in FL, AL, AZ & 32 other states
Answered by Melonie Wood on April 4, 2025
Agent Licensed in FL & AL
If your doctors are in-network, you can keep seeing them with standard copays. But if they’re not, you may pay much more or may not be able to see them under the plan. The safest move is to check each doctor before you enroll so you know exactly what your access will look like.
Answered by Cody Biggs on December 11, 2025
Broker Licensed in LA, AL, AZ & 24 other states
Answered by Marsha Reiniers on April 21, 2025
Agent Licensed in FL, GA, MI & NC, PA, SC & VA
If you sign up for a Medicare Advantage PPO plan you can go out of network but it will cost you more.
Its important to get with an Independent Broker and have them verify that your doctors are in network and prescriptions covered for the plan you are thinking of signing up for.
Your plan needs to be reviewed yearly because the plans change every year. Whats right for this year may no be the right plan for you next year.
Answered by Donnie Vermillion on February 26, 2026
Broker Licensed in TX
Answered by Sherry Rose on April 6, 2026
Broker Licensed in Ga, AL, AR & 5 other states
Answered by Edward MacConnell on May 27, 2026
Broker Licensed in PA, AK, AZ & 19 other states
Answered by Randall Taylor on April 30, 2025
Broker Licensed in TX, MI & WI
Answered by Esther Miller on August 18, 2025
Agent Licensed in WA
Ultimately, if your doctor is very important to you, make sure he is a part of the network or bills your insurance. Keep in mind that networks can change and doctors are not guaranteed to remain in the network.
Answered by Lilyana Uzdenova-Gomez on February 24, 2026
Broker Licensed in FL
Answered by Ryan George on March 23, 2026
Broker Licensed in PA, AK, AL & 49 other states
Answered by Joanna Finnegan on August 6, 2025
Broker Licensed in ID, AR, AZ & 31 other states
With a Medicare Advantage plan, everything hinges on the network. Before enrolling, a good independent Medicare broker should help you confirm two critical things up front:
• Are your prescription drugs covered?
• Are the doctors you trust in the plan’s network?
Depending on how many doctors you see — and which health systems they’re associated with — that may or may not work out. There are no perfect Medicare plans, but there are solid ones. That said, if your “must-keep” list of doctors is long, asking a Medicare Advantage plan to accommodate all of them can be a tall order.
If network access is a concern, a PPO may be an option if one is available in your area. PPOs offer more flexibility but usually come with higher costs when you go outside the network. All else being equal, most beneficiaries do best with an HMO that has a large, well-established provider network.
The bottom line: don’t assume — verify. Checking your doctors before you enroll can save you a lot of frustration later.
Answered by Rodney Powell on January 2, 2026
Broker Licensed in TX, AK, AL & 33 other states
Answered by Cody Hebden, MBA, CLU, FLMI on August 13, 2025
Broker Licensed in NC & SC
Answered by Mariela Arana on September 1, 2025
Agent Licensed in CA, AL, AZ & 8 other states
Answered by Mark Sannes on March 5, 2026
Broker Licensed in WA, AK, AZ & 11 other states
Otherwise, you will have to switch to new doctors if the doctors that you use aren't in the new plan's network.
Answered by Derek Rogers on March 2, 2026
Broker Licensed in FL
With an HMO, your doctors have to be in the network. If not, then you have to get new doctors or you have to get another plan.
Answered by Joseph Lipski on December 16, 2025
Broker Licensed in NJ, CA, DE & 17 other states
Answered by Donna Lueders on May 11, 2026
Broker Licensed in FL, GA, LA, NC & SC
Answered by Robert Fracchia on May 12, 2025
Broker Licensed in MI
Answered by Alison Hummel on May 13, 2025
Agent Licensed in NJ & PA
Answered by Jonathan Paddon on November 3, 2025
Agent Licensed in TN, AL, FL, GA, IL & MS
Answered by Barry Baker on January 5, 2026
Broker Licensed in MO
Answered by Mark Holmes on March 9, 2026
Broker Licensed in FL, AL, AZ & GA, MI, TN & TX
If the plan a PPO or HMO-POS, the plan MAY allow out-of-network coverage. However, you will want to know about any out-of-network limitations, higher copays and cost-share costs (if any), and how you will be billed.
Before you select a MA plan and enroll:
- know what carriers and plans each of your doctors participates with BEFORE you enroll.
- Ensure all of your medications are on the formulary of selected plan
- Ensure your other healthcare services and needs are covered like labs, any therapies, pharmacy, and hospitals.
Working with a caring, knowledgeable Medicare broker will ensure these questions and more are thoroughly reviewed for you. However, if you'd rather attempt finding a plan on your own, it's recommended you explore your plan options and coverage on medicare.gov.
Answered by Krissy Tenhagen on February 11, 2026
Agent Licensed in NY
Answered by Steven Bleicher on May 2, 2025
Broker Licensed in AZ
Plans are insured or covered by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
Answered by Andrew Zurbuch, MBA on November 17, 2025
Broker Licensed in IN, FL, KY, MO, OH & TN
Answered by Steve Houchens on November 28, 2025
Agent Licensed in KY & TN
Answered by Jim Tretola on October 25, 2025
Broker Licensed in NJ, CA, CT & 6 other states
For the HMO type, those plans have a list of in-network doctors and medical facilities. Under the HMO style an enrollee is required to use an in-network doctor or facility to get coverage. Going to an out 0f network providers mostly results in the enrollee paying out of pocket for the services. For HMO's the service area can be nation wide, or reduced down to a county or few. Check with each plan for specifics.
For the PPO style of plan, it has both an in-network provider list and an out of network copay list. Using the in-network providers generally have a much lower copy than going to an out of network provider. The areas of coverage also can be different. Usually one can go to any provider that takes Medicare and they will take a PPO as out of network. Again, check with the individual plan to determine specifics.
To get the best help, find a local agent you are comfortable with and have them address your individual situation.
Answered by Ron Cronwell on July 28, 2025
Agent Licensed in TN
Answered by Kristen Skinner on October 20, 2025
Broker Licensed in OK
Answered by Barbara Barnes, CMIP® on July 16, 2025
Agent Licensed in PA
HMO: must use in-network doctors (except emergencies)
PPO: can go out-of-network, but costs more
Always check your doctors before enrolling.
Answered by Priscilla Ramos on March 31, 2026
Agent Licensed in OH, AZ, FL & 5 other states
Answered by Kris Moen on April 20, 2026
Agent Licensed in ND
Answered by James Stang on June 1, 2025
Agent Licensed in OH
Answered by Dana Dane on May 12, 2025
Agent Licensed in OR, AZ, CA & 6 other states
Answered by Chad Watkins on May 16, 2025
Agent Licensed in NJ, AK, AL & 48 other states
Depending on where you reside, the MAPD network may be more than adequate to meet your needs. If any or all your providers aren't in the network, you may simply decide to remain in your current coverage.
Steven James
Contact me.
Answered by Steven A James, MBA on October 10, 2025
Agent Licensed in WA, AK, AZ & 18 other states
Answered by Cleo Martin on June 8, 2025
Agent Licensed in SC, FL, GA, MI & NC
Answered by Barbara Patterson, CFP on January 26, 2026
Agent Licensed in TX
Answered by Lea Vollmer on October 30, 2025
Broker Licensed in IL, AL, AZ & 7 other states
Answered by David Haynes on September 22, 2025
Broker Licensed in TX
Hey y'all, Brianna here, your favorite life and health insurance agent and owner of Be Real Insurer, bringing you real solutions. So yeah, we're gonna go over three questions that I want you to ask yourself, whether you're new to Medicare and considering a Medicare Advantage plan, or if you're reviewing your current Medicare Advantage plan during the annual open enrollment period.
The first thing that I want you to ask yourself is, are my doctors in network with this Medicare Advantage plan? It's going to include your primary care doctor and any specialists that you're seeing.
And the second thing that I want you to ask yourself is, are my prescriptions going to be covered under this Medicare Advantage plan and at a reasonable cost, along with my pharmacy? Is that going to be in network?
And the third thing that I want you to ask yourself is, what kind of extra benefits, such as dental, vision, or hearing services, do I need? Not all Medicare Advantage plans are going to cover these services, and some only at a certain extent. So it is important to know your needs.
If you're still unsure how to answer these questions or if you need any guidance while reviewing your options, I would be happy to walk you through that at no cost. Medicare doesn't have to be overwhelming, y'all. I hope that helps. And if you have any questions, don't hesitate to reach out to me. Until next time, y'all keep it real.
Answered by Brianna Douros on September 16, 2025
Broker Licensed in VA, CO, NC & TX
Answered by Celeste McGrath on January 21, 2026
Broker Licensed in GA, FL, NC & SC
Answered by Hudson Albert on April 1, 2026
Broker Licensed in TN, AL, AZ & 20 other states
There are Medicare Advantage plans called PPO, which allow you to see a doctor outside of the plan network. If you see a doctor outside of the plan network, then you may have higher copays and higher deductibles.
There are Medicare supplement plans. You can see any Doctor and use any hospital across the United States that accepts Medicare.
The doctors choose what plans they will accept. So if you are considering choosing a Medicare Advantage plan, you should ask your doctors what plans they accept. Now, with that being said, doctors can choose year to year whether or not to take a plan. As well as during the year, a doctor can move to a different office and leave the network. You can do your best to confirm your doctor is in network; however, things can change.
Answered by Diane Poythress on September 16, 2025
Agent Licensed in AZ, CA, FL & 7 other states
Answered by Sandy Nelson-Tittsworth, CMIP on February 2, 2026
Broker Licensed in FL, AL, AZ & 8 other states
Answered by Christopher Garcia on August 4, 2025
Broker Licensed in NM, AZ, CO & TX
Answered by Jessica Breland on April 14, 2025
Broker Licensed in LA
Answered by Michael Crocker on June 7, 2025
Broker Licensed in SC
Some Medicare Advantage plans are PPO which allow you to see out of network doctors. It is important to note that costs on seeing out of network doctors in this situation can be much more expensive.
Answered by John Zentner on August 18, 2025
Agent Licensed in CA
Answered by Ami Fouts on April 21, 2025
Broker Licensed in NH & ME
Answered by Lloyd Griffin on April 28, 2026
Agent Licensed in MA, CT, FL & 6 other states
Answered by Tracy Corwin on April 27, 2026
Agent Licensed in OR
Answered by Dixie Obbink on April 27, 2026
Broker Licensed in SD, AZ, IA, MN & NE
Answered by Tabitha Kampfer on July 30, 2025
Agent Licensed in WA
Answered by Jamie Hindley on February 18, 2026
Broker Licensed in AZ, AK, AL & 17 other states
Elaboration:
Original Medicare:
If you have Original Medicare (Parts A and B), you can see any doctor who accepts Medicare.
Medicare Advantage Plans:
With Medicare Advantage plans (Part C), you're generally restricted to doctors who are in the plan's network.
Checking Your Doctor's Network:
Before switching to a Medicare Advantage plan, it's crucial to confirm if your current doctors are in the network of the plan you're considering. You can do this by checking the plan's website or contacting the plan's member services.
Switching if Necessary:
If your doctor is not in the network, you may need to find a new doctor within the plan's network. You can use the plan's online directory or contact member services for assistance in finding a new doctor.
Answered by Fred Manas on May 6, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Mary Brown on March 30, 2026
Broker Licensed in NJ, DE, FL & NC, OH, PA & TX
Answered by Meghan Blankenship on November 29, 2025
Broker Licensed in FL, MD & OH
Answered by Carol Thompson on May 26, 2025
Broker Licensed in FL, LA, MI & NC, SC, VA & WI
Answered by Suzanne Lamperti on May 6, 2025
Broker Licensed in MD
Answered by Todd Bostic on June 1, 2026
Broker Licensed in TX, AL, AZ & 12 other states
If not then you may need to find new doctors.
Answered by Carol Conner on March 10, 2026
Broker Licensed in TX
Also, it is important to know that a doctor can opt out of the plan during the year as well/
Answered by Karen Ansell on December 30, 2025
Agent Licensed in FL, GA, KY & OH
Answered by Rodolfo Rojas on August 8, 2025
Broker Licensed in NV, AL, AR & 36 other states
Answered by Antonio Rodriguez on November 13, 2025
Broker Licensed in OR
Answered by Ben Washington on July 28, 2025
Broker Licensed in IL, FL, MN, SC, TX & WI
Answered by Mel Stevens on March 30, 2025
Broker Licensed in AZ
Answered by Adam Ernst on December 17, 2025
Agent Licensed in NC, SC & TN
Answered by Julie Thompson on December 9, 2025
Agent Licensed in CA, AZ, KY, NV & TN
Answered by Ken Banks on December 15, 2025
Broker Licensed in GA, AL, DC & 5 other states
Answered by Gary Haft on June 2, 2025
Agent Licensed in FL, AL, DC & 9 other states
Answered by Andre Cabral on April 10, 2025
Agent Licensed in NJ
For an HMO plan your specialists will all come from the same Medical group of your PCP so choosing a plan that has the Primary Care Physician with the proper Medical Group (because many are contracted in multiple medical groups) is necessary.
For a PPO the Primary Care Physician and Specialists have to take the plan or you will pay the our of network copays/insurances/deductibles.
For a Medi-Gap plan you have to make sure the providers you want will accept the Medicare agreement.
Answered by David Christian on February 2, 2026
Broker Licensed in CA & TX
Answered by Amy Jones on April 28, 2026
Broker Licensed in WV, AL, AZ & 29 other states
Answered by Bud Griffin on April 27, 2026
Broker Licensed in TX
Answered by Adam Paul on October 12, 2025
Broker Licensed in CA, NV, OK & OR
Answered by Chuck Winslow on June 10, 2025
Agent Licensed in IN
Answered by Earl Beck on December 6, 2025
Agent Licensed in PA
Answered by Joseph Tretola on February 2, 2026
Agent Licensed in FL, AL, AR & 26 other states
99% of the time, I find that people considering an advantage plan are able to go to a plan without any changes to your care team.
Answered by Lori Marion` on October 14, 2025
Agent Licensed in MS, AL, AR & 17 other states
Answered by Sonya Chandler on May 21, 2025
Agent Licensed in NY, AZ, FL & 5 other states
Answered by Michael Caldwell on June 11, 2025
Broker Licensed in IN, AL, AR & 31 other states
Answered by Rick Balistreri on May 13, 2025
Agent Licensed in MO, AZ, FL & 7 other states
Answered by John Weaver on November 19, 2025
Broker Licensed in CA, AZ, IL & 7 other states
To ensure you can keep your doctors, check the plan’s provider directory on their website or call the plan directly to confirm your doctors’ participation. You can also contact your doctors’ offices to verify if they accept the specific Medicare Advantage plan you’re considering. Always review the plan’s network rules before enrolling to avoid unexpected costs or changes in care.
Answered by Douglas Carney on May 17, 2025
Broker Licensed in FL, GA, NC, OK & TX
Tags: Medicare Advantage
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