Insurance Coverage: Understanding Your Urgent Care Benefits
Learn about insurance coverage for urgent care services at your primary care practice. We accept most major insurance plans.
One of the many advantages of getting urgent care from your primary care provider is that it's typically covered by your insurance in the same way as a regular office visit. Understanding your coverage can help you make informed decisions about where to seek care and how to minimize out-of-pocket costs.
How Insurance Covers Urgent Care at Your Primary Care Practice
When you see your primary care provider for urgent care needs, the visit is typically covered as a regular office visit rather than an "urgent care" visit. This means:
- You pay your regular copay (usually $20-$50)
- Your deductible applies just as it would for a regular visit
- The visit counts toward your in-network benefits
- You get the benefit of seeing your established provider
Insurance Plans We Accept
We accept most major insurance plans, including:
- Aetna
- Anthem/BlueCross BlueShield
- Cigna
- Humana
- UnitedHealthcare
- Medicare
- Medicaid
- Most other major carriers
Comparing Costs: Where to Seek Care
Understanding your insurance coverage can help you decide where to seek care:
- Primary Care Visit (In-Network): Copay $25-$50
- Urgent Care Clinic (In-Network): Copay $50-$100 or higher
- Urgent Care Clinic (Out-of-Network): 20-40% coinsurance after deductible
- Emergency Room: Often $300-$500+ with copay plus significant additional costs
Maximizing Your Benefits
Here's how to get the most from your insurance coverage:
1. Know Your Plan Details
Understand your copay amounts, deductibles, and any restrictions on visits. Check your insurance card or call the number on the back.
2. Verify We're In-Network
Call your insurance company or check their website to confirm that Gwinnett Urgent Care & Family Practice is an in-network provider.
3. Use Your Primary Care Provider First
For urgent care needs, visit your primary care provider first. You'll usually pay less and get better care.
4. Ask About Payment Options
If you don't have insurance or are underinsured, ask about our payment options and discounts for uninsured patients.
Billing and Payment
We handle insurance billing directly with your carrier. You'll typically only need to pay your copay at the time of visit. We'll bill your insurance for the remaining charges.
Have questions about insurance coverage? Call us at (470) 275-4911. Our billing staff can help you understand your coverage and answer any questions about costs.
