Both copays for primary care and specialists usually cost well under 100, although copays vary. You may also have a copay for prescription drugs. The copay for in-network primary care physician visits is usually lower than for specialists. You should be aware of the differences between urgent care clinics and standalone ERs. A copay is a flat-rate amount you pay when visiting a doctor’s office, urgent care, or emergency room. When considering a new health insurance plan, always make sure you understand what you'll have to pay when visiting an ER.' 'This can leave you with a substantial bill. 'In some cases, insurers are placing greater restrictions on the use of emergency room visits to prevent unnecessarily expensive care,' she said. Not all ERs will be in your network and some health insurance plans come with special copayments for care delivered in the ER. 'ERs are intended to treat trauma, acute and serious injuries like severe chest or stomach pain, head injuries, deep wounds or shortness of breath,' Zamosky said. While the wait time at the ER can be several hours, they are able to treat more serious illnesses and injuries. These visits are for an unexpected injury or illness that is not serious. At 92% of the locations, the wait time was less than half an hour and at 90% of the clinics, patients spent a total of 60 minutes waiting and being treated, according to a 2016 report from the Urgent Care Association of America. Medicare covers urgent care visits, and most urgent care centers take Medicare. The wait time at an urgent care clinic is also more practical and works better with many people's schedules because often it is 30 minutes or less, making it easier to go back to work. One benefit of these clinics is that they are open in the evenings and weekends compared to your physician's office. 'In fact, the same care for the same condition can run three times as much or more in an ER compared to an urgent care clinic.' 'Urgent care clinics tend to be less expensive than emergency rooms,' she said. In 2016, the average cost of an urgent care clinic was $176 compared to $2,259 at an ER, based on national averages from health insurer Cigna's 2016 claim data. Calling is necessary to reduce the time you wait.

You will be responsible for your copay or deductible at the time of service. When you arrive, remember to bring a valid photo ID and your insurance card. All of our in-network affiliations are listed by state below. Tower Health is in-network with nearly 60 different insurance plans. Call the Urgent Care Center at (850) 383-3382 for an appointment before coming in. Tower Health Urgent Care accepts most major insurance plans and we will file all claims on your behalf.

Illness and injury don’t stop for weekends, and neither does our care. Providers are expected to refund cost-sharing amounts to beneficiaries as appropriate.A visit to an urgent care can typically save a patient hundreds to thousands of dollars. You are only responsible for your Urgent Care copay. TRICARE Select (not including TRICARE Young Adult) Group A: Network Provider: 24. TRICARE Prime beneficiaries who seek care from specialists without an approved referral when required are subject to Point of Service fees.

Beneficiaries who seek telehealth from non-network providers are liable for their regular copayment or cost-share. Urgent care copay rates (Care for minor illnesses and injuries) There’s no limit to how many times you can use urgent care. This waiver applies to covered in-network telehealth services, not just services related to COVID-19. You may also call the number on the back of your Anthem Blue Cross card to get more information about your deductible or co-pay. We can check your insurance plan once you arrive at any of our urgent care clinics and let you know if you have a co-pay or not.

Telemedicine copayment waiver: TRICARE is waiving copayments and cost-shares for covered audio-only or audio/video telemedicine rendered by network providers on or after May 12, 2020. The amount of copay required varies from one insurance plan to another.

COVID-19 diagnostic and antibody tests must meet Families First Coronavirus Response Act (FFCRA) criteria in order to be eligible for the cost-share and copayment waivers. Use urgent care for medical issues such as: Sprains Ear infections High fevers Flu symptoms with vomiting X-rays and stitches.

Testing copayment waiver: Retroactive to March 18, 2020, TRICARE will waive copayments/cost-shares for medically necessary COVID-19 diagnostic and antibody testing and related services, and office visits, urgent care or emergency room visits during which tests are ordered or administered.