- A healthcare provider is a healthcare professional or facility that is approved to provide services to Medicare beneficiaries. Medicare healthcare providers may include doctors, hospitals, nursing homes, home health agencies, and other types of providers that are enrolled in the Medicare program.
- If a Medicare beneficiary is seeking healthcare services, it is important to make sure that the provider they are seeing is a Medicare healthcare provider. This is because Medicare will only cover services that are provided by Medicare-approved providers. If a beneficiary receives services from a provider who is not
approved by Medicare, they may be responsible for paying for those services out-of-pocket. - To find a Medicare healthcare provider, a beneficiary can use the Medicare website or call the Medicare hotline at 1-800-MEDICARE (1-800-633-4227). A beneficiary can also ask their healthcare provider for recommendations or consult with a healthcare professional, such as a doctor or nurse, to find providers who are approved by Medicare.
- If a beneficiary has any questions about finding a Medicare healthcare provider or about their Medicare coverage, it is recommended that they contact Medicare or speak with a Medicare representative. The beneficiary may also want to discuss their coverage with their healthcare provider to ensure that they understand the treatment options and any potential out-of-pocket costs.
