Finding Physicians

Get Help Finding Good Doctors

When you are first deciding to get a medical service or treatment done, one of the most important points to consider is who you will choose as your physician. There are many physicians across the United States, and it is very important to find a physician that is right for you and your family, especially in regard to your health insurance plan and personal preference. Learn how to choose the right doctor for you.

Choosing a Physician

Each physician is particular about what types of health insurance coverage she or he will accept at her or his office. Therefore, it is crucial that you research the doctor before going in for the appointment in order to determine if she or he is within your coverage network. Many plans have a network of doctors that accept that insurance, and you can check with your insurance company to find doctors in said network.

Understanding Medicaid

Medicaid is a state and federal health care assistance program that provides health insurance to low-income residents. Although the program is funded by both individual state governments and the federal government, the Medicaid program is administered only by the states. This means that each state has its own rules about eligibility, the application process and the benefits awarded to enrolled patients. Additionally, each state program includes different physicians that accept Medicaid.

Physicians That Accept Medicaid

Due to the fact that each state is different in terms of the Medicaid program and the physicians that accept Medicaid, it is crucial that potential applicants and beneficiaries are knowledgeable about the list of professionals in their area that will accept Medicaid insurance. There are a few different ways to discover whether or not a particular medical professional accepts Medicaid, including visiting a website. One of the resources available to determine whether a particular medical professional accepts Medicaid health insurance is to visit your state Medicaid website. Most Medicaid websites in each state include a section that discusses how to determine which of the various physicians in that state accept Medicaid. The website will likely include a list of qualified physicians so that you can select the doctor you wish to visit from that list. However, if you already have a physician in mind for a particular visit or treatment, you can search for the doctor’s name in the database or list provided.

Another option for discovering the physicians that provide the services you need and accept Medicaid is to contact your local Medicaid agency. If the agency has a physical location where appointments can be made, you can make an appointment to speak with an agency representative, and she or he can answer any questions you have. Alternatively, instead of speaking to a representative in person, you can discover the phone number for the agency in your state and speak with a representative over the phone. It is very important to understand that since each agency is different, the methods available to speak with a representative and gain information about physicians can vary from state to state. It is important to learn more about your state Medicaid agency and its specific contact information and preferred contact methods before attempting contact.

In addition, if you have a particular physician’s office in mind, it is important to also contact that office in order to confirm if the doctor takes your specific insurance plan. If you speak to both the insurance agency and the physician’s office, you are more likely to accurately determine if your insurance plan is accepted there as long as you receive confirmation from both.

Why an In-Network Physician is Important

If you happen to select a physician that does not accept the health insurance plan that you have, you could end up having to pay for the entirety of the treatment or service out of pocket. This can cause a significant financial strain on both you and your family, so it is important to only see physicians that accept Medicaid or whatever health care plan you have, if you wish to avoid the substantial medical bills that can come with seeing a physician outside your network. However, it is important to note that some health insurance plans allow their beneficiaries to see physicians that are out of the network as long as the beneficiary pays an increased cost. Contact your insurance agency to learn more about whether or not seeing an out-of-network physician is an option.

Choosing a Doctor  

After you have determined whether or not particular physicians accept your health insurance, it is important to determine which physician to go to based on a number of other factors. Although knowing that a physician takes your health insurance plan is critical, the health insurance acceptance is not the only reason to use that physician. There are other factors that are important when finding a physician to go to as well. A few of these include finding a doctor that is:

  1. Still accepting new patients.
  2. In a preferable location.
  3. Experienced in any medical conditions you may have.
  4. Respectful and a good fit for you.

Some doctors are no longer accepting new patients, so it is very important to call the doctor’s office in order to confirm that you can indeed make an appointment with him or her. It would be very frustrating to research a physician and decide that he or she is a good fit for you only to have him or her not be able to accept you as a new patient. In addition, choosing a physician that practices in an office in your area, or in a location that you can easily access, can be important as well.

If you or anyone in your household has certain medical conditions, it is crucial that you find a physician who is experienced in that condition. It is important to receive care from a doctor who is equipped to properly treat whatever that medical problem is. Finally, you must find a doctor that you feel comfortable with. In order to do so, it is important to get a reference from someone you know, whether that is a friend, family member or previous doctor. In addition, you must meet with the doctor and determine whether he or she is a good fit for you based on their demeanor and experience. Look for a doctor who listens to your concerns, treats you with respect and explains everything to you in an understandable way.

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