Is Urgent Care Covered by Insurance?

Most health insurance companies will offer at least partial coverage for most medical services if they have been deemed as medically necessary. The amount of coverage that any one patient can receive for urgent care services will vary depending on their policy, so patients are encouraged to check with their specific insurance provider to determine what kind of coverage their specific policy offers. Not all urgent care clinics will be able to accept every type of health insurance, so it is also recommended that patients check with their nearby urgent care clinics to determine which insurance providers they are able to accept. The most expensive medical bills typically include those that are unexpected, such as what is treated through urgent care clinics or emergency rooms, so to minimize unexpected and expensive medical bills, it is recommended that those who are looking into receiving health insurance find a provider that offers policies that cover urgent care and emergency care.

Most urgent care clinics will provide all of their services for all patients, regardless of whether they are insured or paying out of pocket. This means that patients who have health insurance that covers urgent care services will likely be able to receive at least partial coverage for necessary services including vaccinations, treatments for infections, physical examinations, treatments for minor injuries including sprains, strains, burns, cuts, and bruises, and treatment for minor illnesses including cold and flu symptoms. To ensure that coverage will be available for necessary services offered by an urgent care clinic, it is recommended that patients check with the clinic to confirm that they are able to accept their specific insurance provider.

Priority Urgent Care is proud to provide accessible and affordable essential health care to all patients regardless of whether they have insurance coverage. To make accessing health care more affordable, Priority Urgent Care accepts most major health insurance providers, including:

• Medicare
• Medicaid / Husky
• Anthem Blue Cross Blue Shield
• Aetna
• United Health Care
• Connecticare
• Harvard Pilgrim
• Tricare
• Cigna
• Golden Rule
• Tuft
• Oxford
• Humana

If you do not see your health insurance provider on this list, we encourage you to reach out to speak with one of our professional staff members to determine if we will be able to accept your insurance. We are not able to accept out-of-province Medicaid. For those who are able to have their insurance provider offer coverage for our services, Priority Urgent Care will submit their claims to your insurance provider directly and can bill other insurance providers directly, making receiving coverage and high-quality medical care as straightforward and stress-free as possible. Patients are also recommended to be knowledgeable regarding the deductible amount outlined in their health insurance policy, as medical services that do not reach the deductible will likely need to be paid out of pocket by the patient.

Whether you will be billed upfront, at the end of your visit, or at a later date by an urgent care clinic really varies depending on where you go for those without health insurance. Some urgent care clinics require an upfront payment to receive care, with the majority of clinics requiring that their non-insured patients pay their bills in their entirety before leaving the clinic after receiving treatment. Priority Urgent Care prioritizes providing all patients with high-quality medical care regardless of their financial situation, offering affordable rates for all of our medical services and the option to pay their bills very conveniently online following their visit. During an urgent medical situation, increased stress caused by worrying about paying the medical bills does nothing to help the situation, so we would rather our patients focus on getting better and then pay their bills afterward. Those with outstanding bills will need to pay for previous medical services before being able to receive future medical services.

The amount of coverage that the insurance company will provide can also change from person to person so again by double checking you will have the most accurate information regarding what you may have to pay out of pocket. We serve patients from Ellington CT, Unionville CT, East Haven CT, Cromwell CT, Oxford CT, Newington CT, and throughout CT.