When a crisis hits, and you need urgent care, you don’t always have the time to think through cost. We’ve done it for you.
The Cost of Services*
Primary Care $
Primary Care visit is covered at 100%. Coinsurance and deductible may be applicable if testing ordered.
Telehealth $
Primary Care telehealth is covered at 100%. Coinsurance and deductible may be applicable if testing ordered.
Same-Day Care $
Same-Day Care visit is covered at 100%. Coinsurance and deductible may be applicable if testing ordered.
Traditional Urgent Care $
Traditional Urgent Care visit is covered at 80%. Coinsurance and deductible may be applicable if testing ordered.
Advanced Urgent Care $$
Visit is billed at a specialist rate, not at an urgent care rate. Plan pays 80%, deductible may apply. Any other services such as lab and imaging will hit their respective fee schedules.
Orthopedic Urgent Care $$
Visit is billed at a specialist rate, not at an urgent care rate. Plan pays 80%, deductible may apply. Any other services such as lab and imaging will hit their respective fee schedules.
Emergency Department $$$$
All patients will be treated regardless of their ability to pay. National average estimated at $1,500. Coinsurance and deductible applicable.
*For Prime Care Advantage Premier Provider