August 13, 2026
Understanding Medicare and Medicaid Coverage for Primary Care
If you're on Medicare, Medicaid, or helping a family member navigate either one, primary care coverage can feel confusing. The rules and plan details vary quite a bit, so this is meant as a general starting point, not specific plan advice.
How Medicare and Medicaid Generally Work With Primary Care
Medicare and Medicaid are separate programs with different eligibility rules, and coverage details depend on your specific plan. Both are designed to help with routine primary care needs like checkups, preventive visits, and managing ongoing health conditions, but exact benefits, enrollment periods, and out-of-pocket costs differ from plan to plan. Because these details change and vary by individual, the most accurate answer for your situation will come from your plan directly or from our office staff, who can check your coverage before your visit.
Questions Worth Asking About Your Coverage
- Which primary care services are covered under my specific plan
- Whether I need a referral for certain visits
- What my enrollment or plan-change windows look like
- Whether my preferred providers are in-network
- What, if anything, I can expect to pay out of pocket
We Accept Medicare and Medicaid
Serenity By A Dr. Sareen accepts Medicare and Medicaid, along with major commercial insurance, at our Loxahatchee, West Palm Beach, and Belle Glade locations. Call the office nearest you and our staff can help verify your coverage before you come in.