Medicare Provider

Everyone with a job pays Medicare taxes on their earned income. When you turn 65 (or earlier if you have certain conditions), you enroll in a Medicare health insurance program. Then, you need a certified Medicare provider like Pannaben Nangha, MD, at Mansfield Primary Care Doctors because providers not enrolled in Medicare won’t accept your insurance. Call the office in Mansfield, Texas, or book an appointment online to learn more about Medicare services.

What is a Medicare provider?

A Medicare provider is a healthcare provider who is enrolled in the Medicare program and a certified Medicare provider.

Enrollment in the program allows them to bill the Centers for Medicare and Medicaid (CMS) for their services to people with Medicare.

Our Mansfield Primary Care Doctors team is a participating provider and accepts the Medicare-approved service fees.

However, if you have original Medicare, you must pay the deductible required by your plan and Medicare coinsurance (20%). Then Medicare covers 80%. The amount you pay and the services covered vary considerably if you have a Medicare Advantage Plan.

How can I see a Medicare provider?

Anyone can schedule visits and receive exceptional care at Mansfield Primary Care Doctors, even if they don’t have Medicare. However, if you want your provider to bill Medicare, you must be enrolled in a Medicare program.

You should get a Medicare card automatically after you turn 65 if you receive social security. Otherwise, you’ll need to apply for original Medicare or a Medicare Advantage plan.

You can apply three months before your 65th birthday. You may also qualify for Medicare at any age if you have certain disabilities or end-stage renal disease (kidney failure).

What services does a Medicare provider offer?

The services covered by Medicare include:

Medically necessary services

Medicare covers services or supplies that are medically necessary to diagnose and treat your health condition.

Preventive services

Medicare pays for numerous preventive services. These are only a few examples:

• Yearly wellness visits
• Cardiovascular disease screenings
• Bone mass measurements
• Cervical and vaginal cancer screenings
• Colon cancer screenings
• Depression screenings
• Diabetes screenings
• Lung cancer screenings
• Breast cancer screenings (mammogram)
• Obesity behavioral therapy
• Medicare Diabetes Prevention Program
• Blood tests

Medicare preventive services also include flu shots and some vaccinations.

What is the Welcome to Medicare visit?

When you get your new Medicare card, you can schedule a one-time Welcome to Medicare visit, also known as the initial preventive physical exam (IPPE).

The IPPE is free (if you see a participating Medicare provider). However, you must visit your healthcare provider within the first 12 months after starting Medicare.

During your visit, your provider does a thorough physical exam and screens for many potential age-related issues, including:

• Eating habits
• Physical and social activity
• Risk for falls
• Depression risks
• Hearing
• Vision
• Balance
• Memory loss

Call Mansfield Primary Care Doctors to learn more about Medicare services or request an appointment online today.