Best Gynecologists That Will Accept Medicare (2021)

When it comes to gynecologists that accept Medicare, there are a variety of different ways in which you can find coverage for yourself. Since most gynecologists accept Medicare as a form of insurance, you should be fine going to your local provider. It is always best to do research beforehand, because some gynecologist will opt-out from the doctors who accept Medicare assignment.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Written by D. Gilson, PhD
Professor & Published Author D. Gilson, PhD

Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years Leslie Kasperowicz

UPDATED: Jan 12, 2022

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The Highlights

  • Most gynecologists accept Medicare as a form of insurance
  • When it comes to Medicare, there are a few different types that you can choose coverage from
  • Sometimes your gynecologist will opt-out from Medicare coverage, but you are still able to see them, just at a higher cost to you

When searching for gynecologists that accept Medicare, it can become a bit of a headache to sift through all the different networks and find a local provider near you with positive reviews, only to find out that your gynecologist doesn’t accept Medicare.

Health insurance, in general, has become a difficult task that not many people want to undertake, especially when it comes to routine procedures. Gynecology, regardless of age, is a necessary service that all women need at some point in their lives.

Whether it be for routine check-ins, family planning, or cancer screenings, gynecological services are a must.

Keep reading below to find out which gynecologists that accept Medicare are and how to find them in your area. Enter your ZIP code above to start comparing Medicare quotes today.

Where can I find a Medicare OB GYN near me?

Thankfully, many doctors today take Medicare as a form of insurance.

As long as your current doctor accepts Medicare, you should be able to see them and receive coverage and treatment for your visit. However, if they decide in the future to no longer accept Medicare, you will need to find another provider.

Of course, you are free to see a doctor even if they don’t accept Medicare, but you may be charged with a higher rate for your visit and any services you receive. By choosing a gynecologist who accepts Medicare, you’ll ensure that you are charged a negotiated and acceptable rate for your care.

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Finding Doctors Who Accept Medicare Assignment

Understanding health care deductibles will help in determining which gynecologist you will be able to see in your area. As stated before, many doctors (including gynecologist) accept Medicare as a form of insurance.

Your coverage will be determined based on which plan you choose and what doctors are in the provided networks that are available.

Medicare Coverage
PlanDeductibleMore Info
Part A: PremiumMost people don't pay a monthly premium for Part A (sometimes called "premium-free Part A")You'll pay up to $471 each month; if you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $471; if you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $259
Part A: hospital inpatient deductible and coinsurance$1,484 deductible for each benefit periodDays 1-60: $0 coinsurance for each benefit period
Days 61-90: $371 coinsurance per day of each benefit period
Days 91 and beyond: $742 coinsurance per each "lifetime reserve day"
After day 90: for each benefit period (up to 60 days over your lifetime)
Part B: Premium The standard Part B premium amount is $148.50 (or higher depending on your income)
Part B: Deductible and coinsurance $203 deductible for benefit periodAfter your deductible is met, you typically pay 20% of the Medicare approved amount for most doctor services
Part C: Premium The Part C monthly premium varies by plan
Part D: Premium The Part D monthly premium varies by plan (higher-income consumers may pay more)
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Medicare’s Part B coverage covers annual wellness visits as a part of the Well Women’s Exam.

Medicare covers these exams once every 24 months; and if you are considered high risk for cervical cancer, or have had any abnormal tests results in the last 36 months, Medicare will cover these exams once every 12 months.

Personal health history, history of STDs/abuse, or abnormal pelvic results within the last seven years will all qualify you for the annual Medicare coverage.

But, you may be asking, where can I find OBGYN doctors that accept Medicare near me?

There are a few ways that you can research where to find the appropriate doctors who accept Medicare assignment:

  • Search Physician Compare: the Centers for Medicare & Medicaid Services (CMS) has a tool that allows you to look up doctors near you and compare them side-by-side
  • Search the Medicare website: the official Medicare website has many resources for finding providers and facilities that accept Medicare near you.
  • Insurance company provider listings: Medigap and Medicare Advantage are Medicare plans provided through private insurance companies; to find doctors that accept these forms of coverage, you’ll need to check with your selected provider for a listing
  • Check within your network: if your Medicare coverage is provided through an insurance provider with a network of doctors and hospitals — check with the company to be sure your doctor is in their network (this can be done by calling your insurance provider or checking their website)
  • Ask any trusted friends or family members: if you have any friends or family members who also use Medicare, you can ask them about their own providers

If you live in a state where gynecologists who accept Medicare are in short supply, you may find that it is best to use a health center or a community clinic as your best option.

Best Gynecologists That Will Accept Medicare: Key Takeaways

For most women, having a gynecologist that you can trust, who is also located conveniently near you, is an important part of healthcare. While it is an extra step, it’s important to verify that your gynecologist accepts Medicare coverage as a form of insurance.

Since most doctors accept Medicare as a form of insurance, you shouldn’t have a problem finding a provider within your network.

Now that you’ve learned about gynecologists that accept Medicare, take the time to enter your ZIP code into a free and easy-to-use tool to start comparing Medicare quotes in your area.

Are you looking for free insurance quotes?

Your one-stop online insurance guide. Get free quotes now!

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