Are Tucson doctors accepting new Medicare patients?

My primary care doctor is not accepting new patients, whether they are on Medicare, Medicare Advantage, or any health insurance.  But he is kind of old and his Physician Assistant takes new patients – but I don’t know how much longer that will last.

I know a couple of other doctors who are not taking new patients, so I wondered if this is a trend.  So I made some phone calls to ask the question, “Is the doctor accepting new Medicare patients?”  If the answer was “yes”, I asked when a new patient could get an appointment.

I called 20 doctors’ offices and 16 of them are taking new Medicare patients. Several said a new patient could see the doctor within a week. One doctor was not seeing new patients until December.  While a survey of 20 doctors is not statistically significant, I was relieved to know that a person moving to Tucson can find a primary care physician without much hassle.

The actual hassle was getting phone numbers. I recently wrote about the Medicare Physician Compare website, so I figured I’d use it to get a list of primary care doctors. I got the list, but most of the phone numbers provided are wrong (!!!). The first number I called turned out to be a psychiatric hospital and not the doctor’s office.

The list of doctors provided by Medicare is almost useless.  Many of the doctors on the northwest side of Tucson have the number for Northwest Hospital – but they don’t work there, and the person who answers the phone can’t give you their number.  Jeeze.  It was quite frustrating for me.

Back to my phone survey:  Four of the doctors I reached are not taking new patients, but the reason is that they have too many patients. Nobody mentioned anything about not taking Medicare patients because Medicare pays too little.

Of course, I didn’t talk to doctors.  I talked to the person who makes the appointments, and I got a couple of odd statements. One person did not seem to understand the difference between Medicare and Medicare Advantage. Here is my conversation with the doctor’s scheduler.

Doctor’s scheduler: “What plan does the person have?”

Me: “This person has Original Medicare. She will use her Medicare card.”

Doctor’s scheduler: “Does she have A, B, or C?”

Me:  “Well, Medicare is A and B, so she has both. Plus she has a supplement.”

Scheduler: “What plan does she have?”

Me: “It doesn’t matter what supplement plan she has because she has Medicare as her primary.”

Scheduler: “Well, we take Medicare as long as she doesn’t have AHCCCS.”

Me: “Does the doctor take Medicare Advantage plans like Health Net, Humana, United?”

Scheduler:  “Yes, we take those.”

I have a feeling the doctor’s scheduler deals more with people who are enrolled in Medicare Advantage plans.  “Original Medicare” did not seem to ring a bell for her. Now, I don’t blame her for being confused because there are so many Advantage plans and there are so many under-65 insurance plans that it must be overwhelming at times to keep track of what insurance they accept and what they don’t accept. But I would think “Medicare” would stand out. But I guess I’m wrong to assume that.

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5 Responses to "Are Tucson doctors accepting new Medicare patients?"

  1. Reed says:

    Now try to get the Advantage plans to confirm that a provider or facility is “in-network”. Their printed directories are obsolete the day they are printed, and their online directories are no better. When I asked why the online was so out of date, I was told it was up to the PROVIDERS themselves to keep them up to date !! What is the point of that ?? What, the plans don’t know who they have active contracts with ??

    There are already enough ways for a claim to be denied. Lack of valid information should not be one of them.

  2. That’s why more and more seniors are learning of the frustrations with Medicare Advantage and are trying to get back onto original Medicare with a supplement, that is accepted at any provider that accepts original Medicare. No networking complaints, co-payments, authorizations, etc. required.

  3. XoroxVotes says:

    Physicians who choose this route are only making the public more energetic for a single payer system with no opt out provision.

  4. Denise_Early says:

    The online directories are up to date – but it’s tough enough for me to figure out how to use each company’s website. Asking an 80-year old to do this is asking too much. Calling the Member Services number on the back of your MA plan id card will get the info you need.

  5. Kalama Hochreiter says:

    Hi Denise,
    I work with many seniors as an MSW in Home Health and boy do they sure need your assistance. Do you have anything in writing to help them?

    Many are Hard of Hearing, or have poor vision. Very few have computers or are able to manage them. The luckier ones have sons and daughters who can help. But this is a minority.

    It is very hard for them to understand clearly what these new choices are. It seems a huge disservice to them to continue to change their health care options when it is so difficult for them to even learn what the choices are.

    Thanks for your efforts.

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