Best Pulmonologists That Accept Medicare (2021)

You can find pulmonologists that accept Medicare in the provider directory, but each doctor will charge different rates. Medicare Part B will only pay for 80% of approved costs, leaving you to pay the other 20% as well as anything not covered. Look closely at rates from pulmonologists who take Medicare to find a doctor who doesn’t charge higher than approved costs.

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UPDATED: Nov 17, 2021

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  • Pulmonologists specialize in the respiratory system and treat conditions like sleep apnea and asthma
  • Medicare will pay 80% of approved costs of medically-necessary treatment once you meet your deductible
  • Find pulmonologists using the Medicare provider directory

Millions of people use Medicare as their health insurance. Medicare covers a lot of conditions, including respiratory issues.

Your primary care doctor will refer you to a pulmonologist if you have bronchitis, COPD, or other lung problems. However, make sure to find out what your out-of-pocket costs will be before your first visit.

Although costs are negotiated ahead of time, pulmonologists that take Medicare may charge higher than agreed-upon rates. Therefore, it can help to speak with several doctors to find the most affordable pulmonologists that accept Medicare in your area.

Keep reading to learn more about pulmonologists who take Medicare. Enter your ZIP code now to compare free quotes from insurance companies that offer Medicare plans near you.

What pulmonologists accept Medicare?

As has been noted, pulmonologists diagnose and treat respiratory illnesses. However, every doctor charges different rates. So make sure you know what a visit will cost you ahead of time.

Hence, you should ask about rates from pulmonologists that accept Medicare before your appointment so you won’t be surprised by the bill.

Medicare works with doctors to negotiate the prices for visits and treatments. However, that doesn’t mean that the doctor can’t charge higher rates or offer treatments that aren’t covered. As a matter of fact, Medicare is the main source of health insurance for millions of Americans. Thus, if you’re on Medicare, you need to know what’s covered and what isn’t.

Medicare Part B will pay 80% of the approved costs for medically-necessary treatment after meeting your deductible. Medicare Part D will help pay for any medications prescribed by your pulmonologist. 

Again, keep in mind that you may need a referral from your primary care doctor to see a pulmonologist.

You will have to pay out-of-pocket for the 20% not included in Plan B. Despite these costs, you are also responsible for any treatments or medications not covered by Original Medicare. To save, consider a Medicare Supplement plan to help cover deductibles, copays, and coinsurance.

Additionally, Medicare Advantage plans can also give you more coverage with lower out-of-pocket costs.

How do I find a pulmonologist near me? You can use the Medicare provider directory. Enter your ZIP code and the type of provider you’re looking for to get a list of pulmonologists in your area.

Is there a pulmonologist near me that accepts Medicaid?

Medicaid is health care coverage offered by each state. It’s usually based on your income. However, every state has its own rules, coverages, and doctors that take Medicaid.

To find pulmonologists in your area that take Medicaid, see your state’s list of providers.

Enter your zip code below to view companies that have cheap insurance rates.

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What medical conditions do pulmonologists treat?

If you are having problems breathing or sleeping, you might need to see a pulmonologist. Pulmonologists specialize in the respiratory system, from your windpipe to your lungs.

Common conditions treated by a pulmonologist include:

  • Asthma
  • Bronchitis
  • COPD
  • Emphysema
  • Lung diseases from inhaling chemicals, dust, or other proteins
  • Sleep apnea

Your primary care doctor will refer you to a pulmonologist if you have trouble breathing, a chronic cough, or smoke.

A pulmonologist will do tests and help you find the best treatment.

How to find pulmonologists that accept Medicare?

Finding a pulmonologist that accepts Medicare isn’t hard, but finding one that doesn’t charge higher rates might be. In fact, some doctors may also suggest treatments that Medicare doesn’t cover.

Talk to a few pulmonologists that accept Medicare in order to see what your out-of-pocket costs will be. Keep in mind that every doctor will charge different rates.

Now that you know how to find pulmonologists who accept Medicare, enter your ZIP code to compare rates from insurance companies offering Medicare plans in your area for free.

Free Insurance Quote Comparison

Enter your zip code below to view companies that have cheap insurance rates.

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