Licensed specialist for veterans: (202) 552-1418

Frequently Asked

My doctor said they don't take Medicare. What now?

If a provider has opted out of Medicare entirely, TFL won't pay either. Find a Medicare-participating provider via Care Compare.

A few possibilities here:

1. They've opted out of Medicare entirely. This is rare but increasing, especially for concierge medicine. Neither Medicare nor TFL pays — you'd owe the full bill out of pocket. Find a different provider.

2. They're "non-participating" (accept Medicare but can charge up to 15% above the approved amount). Medicare still pays its portion, and TFL will pay the cost-share. You may owe a small balance.

3. They simply mean they don't accept new Medicare patients. Common in busy practices. Look elsewhere on Care Compare.

The key question to ask any office: "Do you accept Medicare assignment?" If yes, you're set — TFL flows automatically.

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Related glossary terms

Related Official Resources

Continue learning straight from the source. Every link below goes to an official government or DoD resource.

Last reviewed January 2026 against the 2026 Medicare & You and TRICARE For Life handbooks.