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Doctors Take Medicare and are Near Me

Bob Vineyard · March 11, 2022 · Leave a Comment

Which doctors take Medicare? Where do I find a list of Medicare approved doctors that are near me? How do I know if my doctor is in network? Do I need a referral to see a specialist? Can I keep my current doctors or will I need to change? Georgia Medicare Plans answers your questions.

Good news!

When you have original Medicare there are no networks, referrals are not required, you do not need to pick a PCP (primary care physician)

When choosing a Medicare plan you should always ask your current doctors if they participate in Medicare. According to a recent survey, 98% of primary care physicians accept original Medicare.

Yes, it is True, MOST Doctors Take Medicare, but Some Opt Out

What can you do if your doctor will no longer accept Medicare? Do you look for a new doctor or pay cash?

Doctors take Medicare

The message above is extreme . . . and more likely an exaggeration . . . if you read her posts. This one in particular references things that happen in a MANAGED CARE plan . . . such as an HMO or PPO.

Leverages a $50 penalty against me when my patients accidentally go to out-of-network labs.

Charges me hundreds of dollars of “membership fees” before I’m allowed to see their patients.

Assigns me patients who have not selected me as their doctor.

Insurance companies have done all of these things to me. My choice to end my relationships with abusive insurance companies will never impact the quality of medical care that you’ll receive from me. I will always care for you even if I do not care for your insurance company.

ALL of the above complaints are what can be expected in an HMO or PPO Advantage care INSURANCE plan.

Medicare is NOT insurance . . . it is a taxpayer funded, health care reimbursement plan, that does not assign patients to a doctor they do not want . . . does not penalize the doctor, OR patient, if they go out of network (original Medicare does NOT have networks . . . and Medicare does not charge “membership fees” to providers.

Are Concierge Doctors an Option?

Some medical practices, including those who have opted out of Medicare, now see patients on a “cash only” basis.

This type of medical office is typically primary care only, although some may incorporate a few specialists (such as dermatology) in the mix. A concierge practice usually offers extra benefits such as valet parking, “no wait” appointments, telehealth consults and so forth.

Most do not accept ANY insurance plan and will not bill Medicare or your insurance plan. I have a video that addresses some of the Problems with Concierge Medicine and Medicare.

Are There Doctors Near Me That Accept Medicare Patients?

Regardless of whether you live in a large metro area or a small, rural town, it is almost always possible to find a provider that accepts original Medicare. Any doctor that takes Medicare will ALSO accept your Medigap (Medicare supplement) plan, regardless of the issuing carrier.

By choosing a doctor who accepts Medicare, you’ll ensure you are charged the negotiated and acceptable rate. Your doctor’s office will also bill Medicare for your visit. In most cases, a doctor who accepts Medicare will also wait to hear back from Medicare before asking you to pay any cost difference if appropriate. https://www.healthline.com/health/medicare/doctors-that-accept-medicare-near-me

You can also use the Medicare Physician Finder to search for Medicare participating providers near you.

How do I find a doctor who accepts Medicare assignment?

The Medicare Physician Finder will help you identify providers that accept Medicare assignment.

Will my doctor accept my Medicare Advantage plan?

The Medicare Physician Finder does not have information about HMO and PPO network providers. You will need to ask your Medicare Advantage plan to help you identify par providers. Using non-par providers can result in higher OOP (out of pocket) costs to you.

What Does Medicare Physician Compare Offer?

Physician Compare only lists professionals that accept Medicare. Although some may also accept Advantage plans, it does not have information about which carriers and plans the may accept. PPO plans are much different from HMO plans, and you may not have access to ALL your doctors if you have a managed care plan.

Should I ask my doctor about Medicare? Will they accept ALL Medicare plans? How about original Medicare? Are all my doctors in network? Is Medicare and a supplement plan better than Medicare Advantage? How much more will I pay for using an out of network doctor?

Ask your doctor if Medicare covers your existing medications and treatment. Based on your medical history, what type of plan is better for you? Original Medicare and Medigap or a PPO Advantage plan?

Where Can I Learn More About Doctors that Accept Medicare?

Medicare information. Our videos help you to understand about Medicare options. You have questions, I have answers. Medicare supplement plans, Medicare Advantage vs Medicare supplement. Medicare Part A, Medicare Part B. Which Medicare plan is BEST? How to change Medicare plans? Medicare supplements plan G information and rates. Which Medicare options are best? What is original Medicare? What are Medicare basics? Turning 65 Medicare? Help understanding Medicare. Medicare explained.

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Concierge Medicine Problems and Medicare

Bob Vineyard · March 7, 2022 · Leave a Comment

If I have Medicare, do I need a concierge medicine practice? If my doctor is in a concierge medical group, do I need Medicare? What are the problems with a concierge service? Georgia Medicare supplement plans look at the pros and cons of merging Medicare with concierge medical services.

What is a concierge doctor?

Concierge doctors generally offer their services direct to patients in exchange for an upfront monthly or annual fee. Direct primary care (DPC) is another term for a concierge practice. Built on the concept of “cutting out the middleman” (the insurance carrier), the idea is the patient SHOULD receive better care at a lower cost.

Is Concierge Medicine Worth the Extra Cost?

Patients who require a lot of primary care services may benefit from the extra fees associated with a concierge practice.

concierge medicine

Concierge medical groups offer a wide range of primary health care services, generally for a flat monthly or annual fee.

Truth be known, you do not need health insurance to cover most primary care services . . . but too many patients have become CONDITIONED to BELIEVE they cannot afford to go to a doctor unless they have health insurance.

Concierge services used to be common only among wealthy patients who could afford the fees, but in recent years, concierge medicine has become more affordable.

How Much Are Concierge Fees?

A new client recently asked me to review a specific concierge medical group suggested by a friend who as Medicare. Below is my response.

The lines between what is included in your monthly fee and what will cost extra are a bit blurred based on the website information. They want you to call for a “customized” plan and quote.


It looks like the monthly “premium” is $275 for an individual but can go higher. Other folks who have a concierge provider generally pay around $150 per month.


A routine dermatology visit is $250 . . . I paid $91 two weeks ago (Medicare price)


They also have agents who will try to sell you insurance for hospitalization, ER, surgery . . . etc.
Looks like a lot of . . . embellishment . . . on the linked page above


They also offer DPC (Direct Primary Care) for $100/month . . . a bit more reasonable but seems excessive unless you are a major consumer of healthcare services

SOME concierge plans do not accept insurance assignment and many will not file claims with Medicare.
I can’t find anything regarding insurance plans they accept . . . perhaps I missed it  . . . or maybe they don’t accept any plans.


This practice does not appear on the Medicare physician finder.https://www.medicare.gov/care-compare/?providerType=Physician&redirect=true

Spot checking a few docs against the Medicare site, I don’t see the following . . .Bianco, Evans, Beaulieu, Osinubi, Boland


I did find Faruque, Lothe, Rabbi . . . they seem to be part of another practice that DOES take Medicare . . . not sure of the concierge connection

You should ask them if you are considering a membership, but Medicare acceptance seems to be nonexistent unless you get your care “offsite” at a practice.

What are the Pros and Cons of Concierge Medicine?

First, the pros . . .

“No wait” doctor appointments

24/7 access to phone advice from a medical professional

Telemedicine (virtual) appointments

Some practices include medical specialists

Coordinated health care between primary care and special services

Are there cons to concierge medical services?

Membership fees are IN ADDITION to Part B and Medigap premiums

Concierge fees are not reimbursed by Medicare or your supplement plan

Most concierge medical groups do not accept Medicare, Medicaid, Tricare or Medicare Advantage

Compare what you “get” for your concierge fees vs your out of pocket costs with a Medigap plan

Currently, your out of pocket cost for Medicare and a Medigap G plan is less than $250 per year. Do you see any value in paying extra for essentially the same care you get without a concierge plan?

Enrolling in a concierge practice means you will probably want to sever relationships with your existing doctors

Do I need concierge medicine in addition to Medicare?

For starters, Medicare does not cover treatment received from a concierge practice. Medicare will not reimburse you for concierge fees and most of these medical groups will NOT bill Medicare. Even if they did Medicare will reject the claim since even if submitted to Medicare for reimbursement.

Do I need a Medicare supplement plan and concierge medicine?

A Medigap (Medicare supplement plan) covers much more than just primary health care, so yes, it is advisable to have a Medicare supplement plan. In addition to doctor visits (primary care and specialist), your Medigap plan covers cancer treatment including chemotherapy and radiation therapy, outpatient surgery, ER (emergency room), MRI, CT scans, physical therapy and more.

Medicare Information Videos

Medicare information. Our videos help you to understand about Medicare options. You have questions, I have answers. Medicare supplement plans, Medicare Advantage vs Medicare supplement. Medicare Part A, Medicare Part B. Which Medicare plan is BEST? How to change Medicare plans? Medicare supplements plan G information and rates. Which Medicare options are best? What is original Medicare? What are Medicare basics? Turning 65 Medicare? Help understanding Medicare. Medicare explained.

What is Medicare and how does it work? What is Medicare Part A, Part B, Part C and Part D? What is a Medicare Advantage plan and why is it free? What is the difference in Medicare Supplement and Medicare Advantage? Which is better? Why do I have to pay a premium for Part B Medicare? Why is Part A free but Part B is not? How can I pay my Medicare premiums? Can I use a credit card? Can the premiums be deducted from Social Security?

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How a Medicare Advantage Plan is Not What it Seems

Bob Vineyard · February 28, 2022 · Leave a Comment

Did you enroll in a Medicare Advantage Plan and then discover it is not a Medicare supplement? If so, you may be able to disenroll and change plans. You may be granted an SEP to change plans IF you . . .

Were led to believe you were enrolling in a SUPPLEMENT plan and instead were SOLD an Advantage plan

Were told your doctors were in NETWORK but in fact they are not . . . or the benefits described don’t match your plan. Unfortunately, you may not discover the plan you bought is not the same as the plan you have until you actually USE the plan.

How much does a Medicare Advantage plan really cost?

Most folks love their Advantage plan as long as they are healthy . . . but when they get sick or injured they finally realize just how EXPENSIVE this plan without a premium really is.

Medicare Advantage plan
Medicare Advantage Not as it Seems

A Medicare Advantage Plan is for Healthy People

Is there a disadvantage to a Medicare Advantage plan?

My relative loved his low premium Medicare Advantage plan for years . . . until he was diagnosed with cancer. At that point he realized his choice of a Medicare plan was about to become very expensive and he could incur hundreds and thousands of dollars in copays.

He wanted to drop his managed care PPO plan and change to original Medicare and a supplement plan.

Unfortunately, his diagnosis meant he would have to wait at least 5 years before he could be CONSIDERED for a Medigap plan. By then it was too late and the cancer claimed his life and several thousand dollars in OOP (out of pocket) costs.

His widow was left with thousands of dollars in unpaid medical bills. Not only did his Social Security benefit end, but because he died on the last day of the month, SSA reclaimed the last deposit in his checking account.

Medicare Advantage Scam

Kay Tillow writes for Daily Kos about the “Medicare Advantage scam” and beyond. She explains that these for-profit health plans that deliver Medicare benefits are using stars like Joe Namath to mislead people into signing up for coverage that very well might not meet their needs if they get sick or need a lot of costly care. Medicare Advantage plans, in fact, could keep them from accessing critical care.

What Namath does not tell you is that if you choose the wrong Medicare Advantage plan, you might face inappropriate denials of care, along with other administrative and financial barriers to care. Indeed, new research finds that the wrong choice of Medicare Advantage plan might literally kill you. That’s what Yale economics professor Jason Abaluck found when analyzing data about these corporate health plans. But, the plans won’t let you have access to their mortality data, and Congress is not requiring them to give you access.

These plans can cover a broad list of health services at low out of pocket cost . . . until you get sick. When your health changes for the worse you most likely will not qualify for a Medigap plan which means you are stuck . . . until your health improves, you run out of money or you die.

Learn About Medicare Plan Options

Medicare 2022 information. Our videos help you to understand about Medicare options. You have questions, I have answers. Medicare supplement plans, Medicare Advantage vs Medicare supplement. Medicare Part A, Medicare Part B. Which Medicare plan is BEST? How to change Medicare plans? Medicare supplements plan G information and rates. Which Medicare options are best? What is original Medicare? What are Medicare basics? Turning 65 Medicare? Medicare explained.

Medicare Topics on Video

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Medicare Monthly Payment – Medigap Plans in Georgia

Bob Vineyard · February 18, 2022 · Leave a Comment

Medicare monthly payment, Medigap premiums, free rate report based on your age, zip and county! How much are Medicare premiums? What is the monthly cost for Medicare? Find Medigap plans and rates for select carriers on our website. Your information is never sold! Avoid those harassing phone calls. Side by side comparison without a pushy salesman breathing down your neck.

How much is my monthly payment for select Medigap plans? https://www.gamedigaprates.com/

Compare Medicare Monthly Payment and Premiums

What if you could compare Medicare Supplement rates from top Medicare Supplement insurance companies, all at your convenience, in your home, without an agent coming to your home or harassing you to buy?

Medicare Monthly Payment

Can I pay Medicare premiums online by credit card or debit card? What is Medicare Easy Pay? Why does Medicare bill be for 3 months? Can I pay monthly Medicare Premiums?

Medicare Part B and D premiums can be deducted from your monthly Social Security benefit.

Medicare premiums are due by the 25th of the month . . . your are billed in advance. Your February premium is billed in early February and due by the 25th, your March premium is billed in early March and due by March 25th and so forth.

Medicare monthly payment

Medicare Supplement or Medicare Advantage?

Medicare supplement vs Medicare Advantage? Which one is a better fit based on your needs and budget?

How much is Medicare Part B? Do I have to pay Part B premiums in addition to Medicare Advantage premiums?

Would you rather pay a little more each month and have unfettered access to doctors and hospitals PLUS have a much lower OOP (out of pocket) cost for health care? Or maybe you can’t afford a monthly premium but have the ability to pay hundreds or thousands of dollars when you need care? Is a no premium Advantage plan right for you?

Are you facing big medical bills once you go on Medicare? Don’t be nearsighted like Mr. Magoo . . . look at the BIG picture . . . how much will you pay for HEALTH CARE?

I take the time to walk you through your options . . . how much you can expect to pay each month in premiums . . . what you will pay for health care . . . and then let you decide. Never any pressure to buy.

Medicare Information on Video

Medicare information. Our videos help you to understand about Medicare options. You have questions, I have answers. Medicare supplement plans, Medicare Advantage vs Medicare supplement. Medicare Part A, Medicare Part B. Which Medicare plan is BEST? How to change Medicare plans? Medicare supplements plan G information and rates. Which Medicare options are best? What is original Medicare? What are Medicare basics? Turning 65 Medicare? Help understanding Medicare. Medicare explained.

Medicare information for Georgia seniors. Our videos help you to understand about Medicare options. You have questions, I have answers. Medicare supplement plans, Medicare Advantage vs Medicare supplement. Medicare Part A, Medicare Part B. Which Medicare plan is BEST? How to change Medicare plans? Medicare supplements plan G information and rates. Which Medicare options are best? What is original Medicare? What are Medicare basics? Turning 65 Medicare? Help understanding Medicare. Medicare explained.

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Help! We Have No Money for Medicare! Are FREE Medicare Plans an Option?

Bob Vineyard · February 14, 2022 · Leave a Comment

No money for Medicare? Get the TRUTH behind those misleading ads for FREE Medicare plans.

Medicare sales pitches are high pressure, confusing and not helpful. You WANT to believe them but they just SOUND TOO GOOD TO BE TRUE. You need help UNDERSTANDING MEDICARE, not some mumbo jumbo. No money for Medicare? Get the TRUTH behind those misleading ads for Medicare.

FREE Medicare Plans

FREE Medicare Plans and Other Nonsense

USE ANY DOCTOR YOU WISH
FREEDOM OF CHOICE
CHOOSE YOUR OWN DOCTOR
GET THE CARE YOU NEED PLUS EXTRA BENEFITS

FREE Medicare plans
hands holding up a sign that says “Free Stuff” against a blue sky background

Who could ask for more? Sounds too good to be true, doesn’t it? FREE Medicare is just a tease to lure you in.

Truth Behind the Medicare Hype

NO PREMIUMS – true but implies no COST
$0 PREMIUM, $0 PCP COPAY, $0 DRUG DEDUCTIBLE – implies no cost
SOME PLANS DO NOT INCLUDE RX
PREDICTABLE DOCTOR VISIT COPAYS BUT . . .
UP TO $300 FOR DX IMAGING – IN NETWORK, 30% OUT
UP TO $100 FOR DX TESTING – IN NETWORK, 30% OUT
UP TO $45 FOR LAB – IN NETWORK, 30% OUT
UP TO $100 FOR X RAY – IN NETWORK, 30% OUT
UP TO $45 FOR URGENT CARE – IN NETWORK, 30% OUT

HMO OR PPO?

Are you getting the picture? All the fluff behind the sales pitch doesn’t tell the FULL story.

No premium doesn’t mean no cost.

You STILL have to pay for services once you get in the door.

The Fine Print Behind the Pitch

That FREE Medicare pitch isn’t looking so great now, is it?

NOT ONE SIZE FITS ALL

PLAN DESIGNED FOR YOUR NEEDS AND BUDGET (DOES NOT EXPLAIN CLAIM DETAILS)
HEALTH, DENTAL, VISION, HEARING IN ONE PACKAGE

MAX OOP $6100 – IN + OUT OF NETWORK $10,000
APPLIES TO APPROVED MEDICAL CHARGES ONLY

Why don’t they tell you this in the commercials?

If they told you the whole truth, you probably would not buy their plan . . .

Are Medicare Advantage Plans Bad?

If Medicare Advantage plans are bad why do they dominate some areas? Why do so many people buy into the Advantage plan sales pitch? Good benefits, low OOP (out of pocket), decent networks.

It all sounds so good.

Still there ARE limits on access to health care. Policyholders can’t go anywhere they want. Networks do change from year to year. Over half the Georgia Advantage plans are HMO, the balance are PPO. Understand the difference!

“Your” doctor(s) may be in network this year but not next.

What About Dental and Vision Coverage?

DENTAL COVERAGE – Fine print . . . . must be network dentist or one that accepts Medicare . . . less than 20% of dentists are in network – even fewer participate in Medicare

VISION COVERAGE – Fine print . . . must use approved providers

HEARING SERVICES
UP TO $699 FOR SELECT HEARING AIDS – Low price hearing aids might not work for you
HEARING TEST $45 IN NETWORK, 30% OUT – How far will you have to drive to find an IN NETWORK hearing aid store?

Get the Coverage you Deserve

FREE Medicare plans . . . are they worth it?

BIG PRINT GIVES – SMALL PRINT TAKES AWAY
SOME BENEFITS NOT AVAILABLE IN ALL AREAS
SOME PLANS MAY NOT HAVE EXTRA BENEFITS
SOME BENEFITS MAY REQUIRE EXTRA PREMIUM
LIMITATIONS, EXCLUSIONS AND RESTRICTIONS MAY APPLY

Seen enough?

Medicare Explained in Plain Language

Medicare explained using words you can understand. A Medicare 101 course if you will. Bob is a Medicare expert who will take the time to listen to your questions and give answers to your questions.

Give me 10 minutes by phone. Ask ANY question. How does Medicare work?

If you are turning 65 and enrolling in Medicare, this may be your only chance to purchase a Medicare supplement plan in Georgia. Full report with Medicare supplement rates for ALL Georgia Medigap carriers. Anthem GA Medigap rates include Silver Sneakers

Medicare 2021 information. Our videos help you to understand about Medicare options. You have questions, I have answers. Medicare supplement plans, Medicare Advantage vs Medicare supplement. Medicare Part A, Medicare Part B. Which Medicare plan is BEST? How to change Medicare plans? Medicare supplements plan G information and rates. Which Medicare options are best? What is original Medicare? What are Medicare basics? Turning 65 Medicare? Medicare explained. Help understanding Medicare without a sales pitch.

Georgia Medicare Plans. An offer you can’t refuse.

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Don’t Buy Something You Don’t Need

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Current Posts

  • Doctors Take Medicare and are Near Me
  • Concierge Medicine Problems and Medicare
  • How a Medicare Advantage Plan is Not What it Seems
  • Medicare Monthly Payment – Medigap Plans in Georgia
  • Help! We Have No Money for Medicare! Are FREE Medicare Plans an Option?

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