Why can't my local doctor accepts medicaid and medicare instead of requiring other insurance?

Financial decision: If a doctor accepts medicare and medicaid there is a set fee that one needs to accept.Medicarepays 80 percent of what is considered acceptable payment. Unfortunately medicaid does not pay any additional amount of that 20 percent that medicare does not pay. If one has a secondary insurance they will generally pay the20 percent. In geriatric medicine most insurers don't pay nearly enough.

Choice: That is a choice he/she has made . Medical practices are a business not yet a government entity so we can choose which payors we want to deal with. Your local doctor doesnt want to deal with medicaid and medicare.