Best Ear, Nose, and Throat Doctors That Accept Medicare (2021)
There are many ear, nose, and throat doctors that accept Medicare. In order for your ENT visit to be covered by your Medicare insurance, you will need a referral from your doctor proving that the visit to an ENT is a medical necessity. Medicare will not cover things like a hearing exam or hearing aids. With Original Medicare, Medicare Part B will cover 80% of the cost of your visit with an ear, nose, and throat doctor once you’ve met your deductible.
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UPDATED: Dec 11, 2021
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- Medicare plans will require a referral before you see an ENT for your visit to be covered
- Under Original Medicare, Medicare Part B will cover 80% of the costs associated with your ENT visit once you’ve met your deductible
- Medicare will not cover many ear-related fees outside of an ENT, including hearing aids and hearing exams
If you are 65 or older and have Medicare, you may be curious to know more about ear, nose, and throat doctors that accept Medicare.
ENTs, also known as otolaryngologists, focus on issues with the ears, nose, and throat. For example, if you are having repeat sinus infections or ear infections, or if your inner ear feels uncomfortable, you may want to visit an ENT.
Medicare will help with the fees associated with ENTs in many cases, but there are some stipulations.
If you are looking for affordable Medicare insurance that covers ear, nose, and throat doctors, you may want to do some shopping online to see what your options are.
When you look online for health insurance options like Medicare insurance quotes that cover ENTs, be sure to compare rates for original Medicare and Medicare Advantage.
Because Medicare Advantage plans are offered by independent companies, you can compare Medicare Advantage insurance companies that cover ear, nose, and throat doctors to see how the rates differ from one company to the next.
In fact, you can compare Medicare insurance rates that cover ENTs using our free quote tool above today.
Do I need a referral to see an ENT with Medicare?
If your ears, nose, or throat are bothering you, you may be wondering, “does Original Medicare require a referral to see a specialist?”
Essentially, you will need a referral from your doctor to visit most specialists, including ENTs. This is because your doctor must prove it is a medical necessity for you to meet with an otolaryngologist in order for Medicare to help cover the costs.
Once you have a referral from your doctor, you will be able to visit an ENT. If you have Original Medicare, your Medicare Part B will cover 80% of the cost of your visit once you’ve met your deductible. Currently, the deductible for Medicare Part B is $203.
If you have a Medicare Advantage plan, your fees and coverage may differ. You can speak to an agent with your plan to make sure you understand how much you’ll have to pay before you see an ENT. This will ensure you don’t end up having to finance what your health insurance won’t cover.
If you are wondering, “do I need a referral to see a specialist with Medicaid,” you should speak either to your doctor or to a Medicaid representative to make sure you understand the requirements before you proceed.
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What will Medicare cover with an ENT visit?
Ear, nose, and throat doctors understand the complexities of different symptoms you might be experiencing. Among other things, ENTs help with:
- Hearing issues
- Swallowing issues
- Speech issues
- Breathing issues
- Insomnia and sleep issues
- Sinus issues and recurring sinus infections
- Head and neck pain
- Skin disorders
If your doctor has recommended that you see an ENT, your Medicare Part B will cover 80% of the visit regardless of the reason.
There are certain things Medicare will not cover, such as hearing exams, hearing aids, or hearing aid fittings. But these are not reasons you would visit with an ENT.
You may have questions about your Medicare coverage when it comes to visiting an otolaryngologist. You can always speak to an agent from your Medicare plan or with a person at the ENT office before your visit.
And if you are curious whether you are paying too much for your Medicare Advantage plan or another type of health insurance, you can shop around to compare rates and see what might work best for you.
Before you buy Medicare insurance that covers ear, nose, and throat doctors, be sure to use our free tool below to compare quotes and learn more about your options.