Best Orthopedic Doctors That Accept Medicare in 2021

When looking for orthopedic doctors that accept Medicare, you'll have plenty of options to choose from. Most doctors accept Medicare as a form of insurance, but some medicare orthopedic doctors have started to "opt-out". If you're worried about whether there are orthopedic doctors near you, there are plenty of tools to help you in your research.

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Chris Tepedino is a feature writer that has written extensively about home, life, and car insurance for numerous websites. He has a college degree in communication from the University of Tennessee and has experience reporting, researching investigative pieces, and crafting detailed, data-driven features. His works have been featured on CB Blog Nation, Flow Words, Healing Law, WIBW Kansas, and C...

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Laura Walker graduated college with a BS in Criminal Justice with a minor in Political Science. She married her husband and began working in the family insurance business in 2005. She became a licensed agent and wrote P&C business focusing on personal lines insurance for 10 years. Laura serviced existing business and wrote new business. She now uses her insurance background to help educate...

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Reviewed by Laura Walker
Former Licensed Agent

UPDATED: Nov 27, 2021

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The Rundown

  • As long as you qualify for one of Medicare’s plans, most (if not all) of your expenses will be covered
  • If you are missing qualifications with your Medicare plan, Medigap and Medicaid may be able to help with those extra expenses
  • Some orthopedics have begun to “opt-out” of accepting Medicare as a form of insurance, so make sure the doctor you choose still accepts Medicare

With joint problems and replacements being more commonplace nowadays, finding orthopedic doctors that accept Medicare is essential to getting older.

Health insurance is an important part of life. Medicare will help you cover medically-necessary surgeries that might arise as you get older.

Read on to find out where to find orthopedic doctors that accept Medicare. Enter your ZIP code into our free and easy-to-use tool to start comparing health insurance quotes in your area.

Where do I find Medicare orthopedic doctors near me?

Choosing a health insurance plan can be a time-consuming ordeal but could end up saving you thousands in the end.

There are plenty of resources available to help you search for a proper orthopedic doctor in your area.

Places to find an orthopedic that accepts Medicare :

It’s important to find a doctor that accepts Medicare. If your doctor is out of network, you may have some difficulties getting coverage. Medicare doesn’t pay for the care you receive from doctors who decide to “opt-out” of Medicare.

Doctors who do not accept Medicare by “opting-out” will not submit medical claims to Medicare on behalf of their patients. They are not subject to the Medicare laws that limit the amount they may charge patients with Medicare.

Keep in mind that out-of-network/non-contracted providers are under no obligation to treat Preferred Provider Organization (PPO) plan members, except in emergencies.

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What type of Medicare coverage do I need?

There are a few different ways to find doctors who accept Medicare.

First you’ll want to start by choosing an appropriate plan. There are a few different types of Medicare plans that you can choose from.

Types of Medicare Plans
PlanCoversOther Info
Medicare Part A (Hospital Insurance)Inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care
Medicare Part B (Medical Insurance)covers certain doctors' services, outpatient care, medical supplies, and preventive services
Medicare Advantage (Part C/D)Offer non-emergency coverage out of network, but typically at a higher cost; includes drug coverageOffered by Medicare-approved private companies that must follow rules set by Medicare
Demonstrations/Pilot ProgramsSpecial projects that test improvements in Medicare coverage, payment, and quality of careOperate only for a limited time for a specific group of people and/or are offered only in specific areas
Programs of All-inclusive Care for the Elderly (PACE)All Medicare and Medicaid covered care and services, and other services that the PACE team of health care professionals decides are necessary to improve and maintain your health; this includes drugs, as well as any other medically necessary care, like doctor or health care provider visits, transportation, home care, hospital visits, and even nursing home stays when necessaryThis program helps people meet health care needs in community
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Since Orthopedic care can come with a hefty cost, you’ll want to make sure that whatever plan you choose covers most (in not all) of your expenses.

There will be qualifications to meet with each plan. If you don’t meet certain qualifications, you may need to find additional coverage elsewhere.

Medigap

Medigap is an insurance policy that you can buy from a private company to cover costs that are not covered by Medicare. These costs include copayments and deductibles.

The cost of a Medigap policy depends on what is covered. For example, some policies pay for health care costs when you travel outside the United States.

Medicaid

Medicaid is health insurance for adults who have low income and limited resources. It also covers people who have disabilities.

What do orthopedic doctors cover?

Orthopedic doctors treat a wide variety of conditions, such as:

  • bone fractures
  • muscle strains
  • joint or back pain
  • arthritis
  • carpal tunnel syndrome
  • injuries to tendons or ligaments, such as sprains, tendonitis, and ACL tears
  • limb abnormalities, such as clubfoot and bowlegs
  • bone cancer

Non-surgical orthopedists can be a great starting point for patients who don’t have a clear diagnosis, and many orthopedic conditions can be effectively treated without surgery.

It’s wise to seek out an orthopedic surgeon if your diagnosis or suspected diagnosis might need surgery.

The best orthopedic doctors that accept Medicare: key takeaways

Many people have a hard time finding the answer to the question: “Where can I find an orthopedic that takes Medicare near me?” While there are plenty of ways to find a reputable orthopedic doctor in your area, it’s important to remember to find a doctor that accepts Medicare insurance.

Since some doctors have started to “opt-out” of accepting Medicare, the cost of any procedures will end up falling back to the patient.

But as long as you find an orthopedic doctor within your Medicare network, you will be covered.

Now that you’ve learned where to find orthopedic doctors that accept Medicare, take the time to enter your ZIP code into our free tool to start comparing health insurance quotes today.

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