How to Find a Doctor Who Accepts Medicare in Reseda, CA

Medicare is a federally funded health insurance provided in the United States for certain individuals, specifically those aged 65 and older, folks with particular disabilities, and those with End-Stage Renal Disease. Medicare coverage is divided into several parts, each designed to cover specific health-related services. Part A, widely known as hospital insurance, covers inpatient hospital care, hospice care, skilled nursing facility care, and potentially home health care. This part subsidizes pay for the services and supplies needed during a covered hospital stay or post-hospital care. Part B, referred to as medical insurance, covers outpatient care, doctor services, preventive medical services, and supplies. It includes coverage for medically necessary services to treat a disease or condition, such as outpatient surgeries, lab tests, and doctor visits. Part B also covers many preventive services, like screenings and vaccines, to prevent illness or detect health conditions at an early stage. Part D provides prescription drug coverage and is run by private insurance companies that follow rules set by Medicare, and as such, also covers many recommended shots or vaccines. Medicare rarely covers every expense, and there are typically out-of-pocket costs associated with coverage, such as deductibles, copays, and insurance premiums. Certain services like long-term care, cosmetic surgery, dental care, eye exams for prescribing glasses, and hearing aids are not covered by Medicare.

Unfortunately, Medicare does not typically cover 100% of the costs associated with visiting a doctor. For those enrolled in Medicare Part B, which covers physician visits and outpatient services, there is usually a standard annual deductible that patients must meet before Medicare begins to pay its share. Once the deductible is met, Medicare generally covers 80% of the approved amount for the doctor’s services, leaving the patient responsible for the remaining 20%, this is known as coinsurance. It is important to note that Medicare only covers services deemed medically necessary and the doctor must be enrolled in Medicare and accept Medicare assignments. For additional coverage, individuals may opt for supplemental insurance, like a Medigap policy, which can help cover the remaining 20% of coinsurance and other out-of-pocket expenses not covered by traditional Medicare. Patients should also verify whether their doctor accepts Medicare to ensure that their visits are covered and to understand any potential out-of-pocket costs that may incur, ensuring they have a full understanding of their healthcare coverage.

While Medicare does provide a broad range of healthcare services, there are specific areas and services it does not cover. Most notably, Medicare does not typically cover long-term care, also known as custodial care, which includes extended stays in nursing facilities or in-home custodial services. Routine dental care, such as cleanings, tooth extractions, fillings, and dentures, is also excluded, along with routine vision and hearing exams associated with prescribing glasses or hearing aids. Furthermore, it doesn’t cover cosmetic surgery unless it is deemed medically necessary. For example, one medically necessary cosmetic procedure may be reconstructive surgery for an injury. Under Medicare Parts A and B prescription drugs are also not covered. Instead, they require enrollment in a separate Part D plan or a Medicare Advantage plan that does cover prescription medication. Such holes in insurance coverage make it crucial for you to review plan details and even consider supplemental insurance policies to make up for the items not included in traditional Medicare if needed.

Finding a doctor who accepts Medicare is simple at Rachman Medical Group with Dr. Ilya Rachman in Reseda, CA. Whether you need a primary care physician or specialized care, these steps will help you connect with Dr. Rachman and his team.

Use the Medicare Care Compare Tool

Visit the Medicare Care Compare website.
Enter Reseda, CA as your location and search for family medicine or primary care.
Filter the results to show providers who accept Medicare, including those who accept your specific plan, like Medicare Advantage or Original Medicare.

Contact Rachman Medical Group Directly
Call (818) 485-4517 to confirm that Dr. Ilya Rachman accepts your specific Medicare plan.
The office staff can provide details on the services offered and ensure Dr. Rachman is in-network for your coverage.

Consult with Your Medicare Advantage Plan
If you are enrolled in a Medicare Advantage plan, use your plan’s directory or customer service to confirm that Dr. Rachman is part of your network.

By following these steps, you can easily confirm Dr. Ilya Rachman’s Medicare acceptance and schedule an appointment at Rachman Medical Group for your healthcare needs. For more information, contact us today or simply request an appointment online. We are conveniently located at 7601 Canby Ave Suite 7 Reseda, CA 91335. We are ready to help you feel better! We serve patients from Reseda CA, San Fernando CA, Twin Lakes CA, Hidden Hills CA, Burbank CA, and BEYOND!