Question 1

How do I find out if my doctor accepts my Medicare plan?

Accepted Answer

Use the provider search tool above to look up your doctor by name or specialty. You can also call your plan's member services number on your insurance card, or ask your doctor's office directly if they accept your specific Medicare Advantage or Medicare Supplement plan.

Question 2

What pharmacies are in my Medicare plan's network?

Accepted Answer

The pharmacy search tool above lets you find in-network pharmacies near you. Most major pharmacy chains participate in Medicare Part D networks, but coverage and copays can vary by plan. We can help you find a plan that includes your preferred pharmacy.

Question 3

Can I see a specialist without a referral?

Accepted Answer

It depends on your plan type. Medicare Advantage PPO plans generally allow you to see specialists without a referral, though you may pay less when using in-network providers. HMO plans typically require a referral from your primary care physician. Original Medicare with a Supplement plan does not require referrals.

Question 4

What should I do if my provider is not in my plan's network?

Accepted Answer

If your preferred provider isn't in your current plan's network, you have several options. During the Annual Enrollment Period (October 15 - December 7), you can switch to a plan that includes your provider. You may also qualify for a Special Enrollment Period. Contact us for a free consultation and we'll help you find a plan that covers your doctors.

Question 5

How often do provider networks change?

Accepted Answer

Medicare plan provider networks can change annually. Providers may join or leave networks at the start of each plan year. It's a good idea to verify your doctors are still in-network during the Annual Enrollment Period each fall, especially before renewing your current plan.

Question 6

Does Core Insurance Solutions charge for help finding providers?

Accepted Answer

No. Our consultations are completely free with no obligation. We're here to help you understand your plan options and find coverage that includes your preferred doctors, specialists, and pharmacies in the Lakeland area.

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