If a doctor or hospital you rely on will not be in your Medicare plan’s network next year, verify the change before making a coverage decision.
Confirm the provider’s status
Check with the plan and the provider. Network information can change, and it is worth confirming before you make a coverage decision.
Understand your plan type
Medicare Advantage plans may require in-network providers for non-emergency care or may charge more for out-of-network services, depending on the plan. Original Medicare generally uses a different provider-access structure.
Check specialists and hospitals too
Review specialists, hospitals, clinics and other facilities that matter to your care.
Compare continuity of care with total cost
Provider access can be just as important as premium. A plan with an attractive price may be a poor fit if it disrupts the care team you depend on.
Official sources
Use Medicare.gov and CMS Medicare Open Enrollment resources for official Medicare information.
Explore the Ensurance Medicare resource center.
Ensurance is not Medicare.gov, CMS, or an insurance carrier. This page is educational and does not guarantee eligibility, plan availability, quotes or savings.
