Can I keep seeing my current doctors if I switch to a Medicare Advantage plan, or do I have to find new ones?

Question

Mary Turner · Accepted Answer

You may or may not keep your current doctor's when switching to a Medicare advantage plan. Some HMO's and PPO's have extensive networks and your doctors may all participate. If you decide on an HMO you just stay in network. PPO's allow you to go out of network though your cost may be higher.

Answered by Mary Turner on March 28, 2025

Broker Licensed in FL

Answered by Mary Turner Medicare Insurance Agent

Melonie Wood · Answer

Whether you can keep your current doctors with a Medicare Advantage plan depends on whether they participate in the plan's network and if you choose a plan that allows you to see out-of-network doctors (PPO).

Answered by Melonie Wood on April 4, 2025

Agent Licensed in FL & AL

Answered by Melonie Wood Medicare Insurance Agent

Tony Capraro III · Answer

You'll have to use the DR's that are part of the Medicare Advantage Plan-you can easily check with Dr's and Hospitals to see if they're part of the Medicare Advantage plan you are looking to switch to. Have you looked into Medicare Supplement/Medigap-you'd be able to see any Dr that accepts Medicare!

Answered by Tony Capraro III on April 3, 2025

Agent Licensed in NH

Answered by Tony Capraro III Medicare Insurance Agent

Marsha Reiniers · Answer

Medicare Advantage plans are managed care plans and have many physicians who are in network, so you will have a wide range of doctors and specialists to choose from. If you prefer to stay with your current doctor, make sure he or she is in network for the plan you select. Note: A PPO plan will allow you to see a doctor outside of the plan's network, usually at a higher co pay, however, that doctor must first agree to accept your PPO plan. It is very important to do your research and to enlist an agent who will help ensure your plan meets your specific needs.

Answered by Marsha Reiniers on April 21, 2025

Agent Licensed in FL, GA, NC, PA, SC & VA

Answered by Marsha Reiniers Medicare Insurance Agent

Justin Sonon · Answer

If your doctors are considered in network on an HMO style Medicare Advantage plan, you may keep them. If you choose a PPO style Medicare Advantage plan, you may go in and out of network, but should realize that if you go out of network, the cost to see that doctor will be higher than staying in network.

Answered by Justin Sonon on April 22, 2025

Broker Licensed in Pa, DE, FL & IL, MD, NJ & SC

Answered by Justin Sonon Medicare Insurance Agent

Ami Fouts · Answer

Yes, Most Medicare Advantage plans accept most doctors. But it is always prudent to check all doctors in network

Mel Stevens · Answer

When it comes to Medicare Advantage plans, there are many different providers and usually many different plans available per provider. If you are thinking about switching plans, it's important to review the plan and make sure your doctors, specialists and medical facilities that are a must keep are available within that plans network. When researching, be very cognizant of the particular plan. For example, Doctor X may be in network with United Medicare Advantage HMO plan 1 but may be out of Network with United HMO plan 2. In addition, there are many additional options like dental and vision that can vary widely along with wide ranging co-pays and max out of pocket limits from one Medicare Advantage plan to another. When it comes to making sure you make the right decision for yourself and it's important to sit down with a professional to review your options and benefits. It's doubly important if you are seeing a primary doc or specialist that you absolutely must keep in network!

Answered by Mel Stevens on March 30, 2025

Broker Licensed in AZ

Answered by Mel Stevens Medicare Insurance Agent

Andre Cabral · Answer

A: If your doctors are in the network of your new plan, you just keep them seamlessly. Depending on your new plan, you still can see them and pay a higher co-pay as an out-of-network doctor.

Jessica Breland · Answer

That depends on the doctors & the plan. Every Advantage plan has their own network of doctors. When I am trying to find an Advantage plan for someone the goal is for that plan to cover all of their RXs at the lowest cost & all current doctors are in network. Be sure the agent you see checks everything before you enroll in a plan.

Answered by Jessica Breland on April 14, 2025

Broker Licensed in LA

Answered by Jessica Breland Medicare Insurance Agent

Can I keep seeing my current doctors if I switch to a Medicare Advantage plan, or do I have to find new ones?

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Can I keep seeing my current doctors if I switch to a Medicare Advantage plan, or do I have to find new ones?

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