Which Doctors in Decatur, IL Accept Medicare?

Finding a doctor who accepts Medicare can feel like a big task. Fortunately, Decatur, Illinois has several health systems and physician groups that work with Medicare patients and participate in Medicare and Medicare Advantage plans.

Understanding Medicare vs. Medicare Advantage

Original Medicare, made up of Medicare Part A (Hospital Insurance) and Medicare Part B (Medical coverage), is administered by the federal government and accepted by many physicians and hospitals nationwide. Medicare Advantage (Part C) plans are offered through private insurers such as Humana, UnitedHealthcare, Aetna, and WellCare. While many doctors accept Medicare, participation in Medicare Advantage networks varies by plan. Always verify coverage directly with the provider's office before scheduling an appointment.

Decatur Memorial Hospital & Memorial Health

Decatur Memorial Hospital (DMH), part of Memorial Health, is one of the largest healthcare providers in Central Illinois. Memorial Health accepts a wide variety of insurance plans, including Medicare-related coverage. Patients should verify coverage for individual physicians because some providers bill independently.  

To verify whether your plan is accepted, you can contact the Memorial Health Managed Care Department at 217-788-4448 or via email at ManagedCareDepartment@mhsil.com.

Several Decatur-area physicians have been identified as accepting Medicare assignment, including:

• Dr. Michael Murray Wall
• Dr. Maryam Qureshi

Location:
Decatur Memorial Hospital
2300 N. Edward Street
Decatur, IL 62526

HSHS Medical Group and St. Mary's Hospital

HSHS Medical Group operates primary care and specialty clinics throughout Decatur. The organization includes family medicine, internal medicine, pulmonology, neurology, endocrinology, surgery, and other specialties.  

Examples of Decatur-area physicians currently practicing within HSHS Medical Group include:

Family Medicine

• Dr. Anas A. Sohail
• Brian Klostermann, MD

Internal Medicine

• Dr. Neam H. Saleh
• Dr. Hima S. Atluri
• Dr. Dhirendra K. Patel

These providers are located at HSHS Medical Group Family & Internal Medicine on Pershing Road and are accepting patients according to the provider directory.  

Location:
HSHS Medical Group Family & Internal Medicine
544 W. Pershing Road
Decatur, IL 62526  

The HSHS Medical Group organization includes more than 200 providers and participates with multiple insurance networks, including Medicare-related plans through various carriers. Coverage should be confirmed for your specific Medicare Advantage plan.  

Springfield Clinic Decatur

Springfield Clinic maintains a major outpatient facility in Decatur and specifically states that it accepts Medicare and participates with several Medicare Advantage plans. The clinic reports participation in:

• Aetna Medicare Advantage
• Humana Medicare Advantage
• UnitedHealthcare Medicare Advantage
• WellCare Medicare Advantage
• HealthSpring Medicare Advantage
• Medical Associates Health Plan (Cost)

This makes Springfield Clinic one of the strongest options for Medicare Advantage members seeking network coverage in the Decatur area.  

Location:
Springfield Clinic Decatur
250 W. Kenwood Avenue
Decatur, IL 62526
Phone: (217) 428-3424  

Tips for Choosing a Medicare Physician in Decatur

Before scheduling an appointment:

1. Verify that the physician is accepting new patients.
2. Confirm that the office accepts Medicare or your specific Medicare Advantage plan.
3. Check whether referrals are required for specialists.
4. Review hospital affiliations if inpatient care may be needed.  

Conclusion

Residents of Decatur have access to a broad network of providers through Decatur Memorial Hospital, HSHS Medical Group, and Springfield Clinic. While Original Medicare is widely accepted, Medicare Advantage participation can vary from provider and plan. We recommend always verifying your coverage before your first visit to avoid out of network costs and ensure quality care.