My mom is considering switching to a Medicare Advantage plan because her friends say it's better. She's scared of losing her current doctors. How can we check?
Answered by 11 licensed agents
One, no one should ever pick a plan because their "friends" say it's better. I cannot tell you how many people made that mistake. Medicare insurance needs are different for everyone.
Two, she should be concerned about her doctors accepting the insurance because Medicare Advantage plans are network plans. But that is why you have me as a broker to check all the networks to make sure your doctors accept the plan you may be switching to.
Answered by Joseph Bachmeier on April 17, 2025
Agent Licensed in PA, DE, FL & MD, NC, NJ & SC
Her friends may endanger your mother. Medicare Advantage may have authorizations, Dr networks, service areas, referrals, Etc. It's easy for any Medicare broker to check her current doctors and see if they are in network for various Medicare Advantage plans.
You can contact a local, licensed agent, and they will be able to tell you what plans are considered in-network with her providers. If you're not comfortable reaching out to an agent, you can visit www.Medicare.gov, where you can review plans and in-network doctors as well.
Answered by Kevin McIntire on March 28, 2025
Broker Licensed in IN & OH
The best way to confirm in-network providers is to verify via the insurance carrier’s website or to call directly.
Answered by Timothy Brown on April 19, 2025
Broker Licensed in PA, CT, DE & 15 other states
You may check with the Advantage plan she is interested in. You can access the list of physicians from the Carrier's website. This is an important step in every review of changing plans.
Answered by Joanna Gebhart on April 9, 2025
Broker Licensed in CA, OR & TX
Having good, reliable doctors that you trust is really important. When looking into an Advantage plan, the first thing to consider is if a doctor is "in network". When a doctor is "in network" it means that the plan will cover those visits. If a doctor is "out of network" you will not be covered by the plan. When I meet with a person, I have a system that will narrow down plans that each doctor is covered by so that we can ensure the best coverage and benefits which is unique to each individual.
Answered by Jon Maves on April 14, 2025
Broker Licensed in TN, AZ, CA & 9 other states
Go the the Med Adv plan website and select Doctor lookup and search them one at a time to verify if they are in network.
Answered by Kerwyn Jones on April 20, 2025
Broker Licensed in FL, AL, AR & 21 other states
As an agent, I can check the providers that are in-network with that specific plan. Each carrier also has an online search tool that allows members and prospective members to see which providers are in-network.
Answered by Britania James on April 17, 2025
Broker Licensed in AL, CA, FL & 7 other states
Please reassure your mom, this is the reason to use a Licensed & Certified Insurance Agent/ Broker hear to assist her find the plan she deems best for her.
We will research her Doctors, Hospitals & prescriptions are covered and which plans cover them.
Call us for complimentary assistance:
Dan "the Medicare Man"
Daniel Maisel Insurance Solutions
"Making Medicare Simple"!
(909) 319-5324
Lic #0620516. - Npn #2714786
Www.InsureItDan.com
Answered by Daniel Maisel on April 14, 2025
Broker Licensed in CA, AZ, MI & NV, OH, TN & WA
Each carrier has a provider tool to verify they will accept the plan. I would suggest connecting with an independent Agent, they can check across all the plans for your mom.
Answered by Hollie Hittner on April 2, 2025
Agent Licensed in NE, AZ, IA, MO, SD & TX
Speaking with a Licensed agent is so important and to better advise, her friends needs & qualifications could be different from hers ,
Tags:
Advice for Seniors
Coverage
Medicare Advantage
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