Q: After my husband died, I moved to live closer to my daughter in another part of the state. I tried to get an appointment with her family doctor, but was told that he's not accepting any new Medicare patients. Any suggestions for finding one that does?
A: One of the most common sources for finding a doctor is to get recommendations from family and friends, but due to recent Medicare cuts, some doctors have stopped accepting new Medicare patients (see article #1 of this issue, "Doctors Refuse New Medicare Patients"). Try your local Social Security office and ask for a copy of Medicare's Participating Physician/Supplier Directory for your area. If you or your daughter have internet access you can also access the Participating Physician Directory online at http://www.medicare.gov. The online database can be searched by zip code and the physician area of specialty that you are looking for (Internal Medicine is an important category to look at).
Another great source of information and referral is your local area Agency on Aging. To find the agency nearest you, check the "Community Services" section of your phone book or call the Eldercare Locator toll-free at (800) 677-1116.
Since nothing related to Medicare is simple or straightforward, keep in mind that finding a doctor who accepts Medicare patients is only half the battle. Your second chore is to confirm that he or she also accepts your supplemental Medigap insurance, or participates in your Medicare health maintenance organization (HMO) or "preferred provider" plan. Since you have moved, it's smart to call and confirm that your health insurance plan provides coverage for the new area in which you live, and if there is a list of physicians you should be using.
Once you have several prospects, start calling. You may want to meet the doctor first and then schedule an appointment for a routine physical once you feel comfortable with your choice. It's important to alert any new doctor to your past illnesses, operations and health conditions, as well as to thoroughly review all prescription medications and over-the-counter medicines you may take. If you can't remember all the names, put all pill bottles in a bag and take them with you to the doctor. If you have allergies or adverse drug side effects, be sure to tell the doctor so he or she will know which prescriptions to avoid.
To read more Social Security & Medicare Advisor Questions, click here: http://www.tscl.org/MedicareandHealthQA.asp.
May 2002
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