Is Urgent Care Covered By Insurance?

Apt Urgent Care is an exemplary urgent care clinic also known as an immediate care clinic. We are a walk-in clinic located in Hawthorne, New Jersey, offering immediate medical attention for non-life-threatening illnesses or injuries that require prompt care. 

At Apt Urgent Care, we are equipped to treat a wide range of conditions. From minor fractures and sprains, fevers and chills, flu-like symptoms, minor cuts, and lacerations, to allergies, respiratory infections, urinary tract infections, ear infections, and pink eye (conjunctivitis), our highly trained medical professionals are ready to serve you.

We aim to fill the gap between primary care doctors and hospital emergency rooms, providing care to patients with non-life-threatening conditions who can’t wait for an appointment with their primary care physician. Our clinic is staffed by licensed healthcare professionals who can diagnose and treat a wide range of conditions. We even offer follow-up appointments or referrals to specialists for ongoing care. However, while we provide timely and affordable access to medical services for non-emergency conditions, we also stress the importance of recognizing when a medical emergency requires immediate care. 

At APT Urgent Care, we provide an essential service for non-life-threatening conditions that require immediate attention but are not classified as medical emergencies. Our center offers shorter wait times and more flexible hours than emergency rooms, making us an accessible healthcare option for many. However, it’s crucial for individuals seeking medical assistance at APT Urgent Care to understand the cost of an urgent care visit without insurance.

The cost of an urgent care visit at APT Urgent Care without insurance can vary significantly based on several factors:

Location: Our center is located in an urban area, which can sometimes result in higher costs than rural areas.

• Time of Day: We may charge higher fees for visits during evenings, weekends, or holidays.
• Type of Services: The severity of your condition, the tests we order, and the medications we prescribe will impact the cost.
• Provider Affiliation: We are affiliated with a medical group, which could potentially result in higher fees.

APT Urgent Care offers a self-pay or cash-pay discount, which can make visits less expensive for those without insurance. We may also offer payment plans or sliding scale fees based on income. Therefore, it’s always a good idea to ask us about these options.

Apt Urgent Care is designed to provide immediate and efficient medical care to insured patients for non-life-threatening conditions. 

Medical Care:

We offer diagnosis and treatment of minor injuries such as cuts, burns, sprains, and minor fractures. We also provide stitch removal and wound dressing. Along with managing common illnesses like colds, flu, ear infections, urinary tract infections, strep throat, and earaches we also provide chronic disease care for conditions like diabetes, high blood pressure, and asthma, offering necessary medication and guidance on disease management.

Diagnostic Services:

We are equipped to handle diagnostic services such as X-rays, laboratory tests, EKGs, and rapid testing for various infections. These can be pivotal in determining your health status.

Vaccinations and Preventive Care:

We administer routine vaccinations, including childhood immunizations and flu shots. We offer physical exams, health screenings, pre-travel health screenings, and gynecological exams. Our facility provides pregnancy tests and sexually transmitted disease testing and treatment.

Benefits for Insured Patients:

Time-efficiency: Appointments at Apt Urgent Care are typically shorter than visits to the emergency room or doctor’s office.

Cost-effectiveness: Costs at an Urgent Care are generally lower than emergency room charges for similar services.

Insurance coverage: Most major insurance plans cover visits to Apt Urgent Care, with co-pays or deductibles applied per the patient’s policy.

Please note that the range of services may vary, and it’s always best to check with us about the services we offer. Also, Apt Urgent Care is not intended for life-threatening emergencies or chronic conditions requiring ongoing management. In these cases, patients should seek care at an emergency department or consult with a primary care physician.

We are dedicated to offering accessible and affordable healthcare to all our patients, irrespective of their insurance status. It is our mission to ensure everyone can access prompt medical care without worrying about the financial implications. This is why we are in-network with most major insurance providers, including but not limited to Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, and Humana.

Our commitment to healthcare inclusivity extends even further, as we accept Medicare and Medicaid. This allows us to provide care to seniors and low-income families under various Medicare Advantage plans and Medicaid Managed Care plans. We also honor TriCare insurance for veterans and insurance from workers’ compensation. This is our way of ensuring that those who have served our country or have been injured at work can receive the urgent care services they need.

Healthcare insurance can be a complex topic to navigate. At APT Urgent Care, we are dedicated to helping you understand these complexities so you can make informed decisions about your healthcare.

APT Urgent Care as an In-Network Provider

APT Urgent Care is an in-network provider with several insurance companies, which means we have agreed upon a payment and discount agreement with these insurers. The advantages of choosing an in-network provider like APT Urgent Care include:

Lower copays and deductibles: As an in-network provider, your out-of-pocket costs at our facilities will generally be lower than those at out-of-network providers.

Covered services: APT Urgent Care offers a wide range of urgent care services that are typically covered by your insurance plan.

Simplified payment process: Insurance companies handle payments for in-network providers like APT Urgent Care, making the billing process smoother for our patients.

Out-of-Network Providers

If APT Urgent Care is not in-network with your insurance company, we are considered an out-of-network provider. This status has certain implications:

Higher out-of-pocket costs: Visiting an out-of-network provider generally means higher out-of-pocket costs as the insurance company will cover a smaller portion of the bill or none at all.

Limited covered services: Services provided by out-of-network providers may not be covered by your insurance plan, leading to additional costs.

Complex billing process: Patients typically have to file claims directly with their insurance company for out-of-network services, which can be complicated and time-consuming.

Choosing between in-network and out-of-network providers depends on various factors such as cost, availability of services, and quality of care. At APT Urgent Care, we strive to offer high-quality, affordable services to all our patients, whether we are in-network or out-of-network with their insurance. For more information contact us or request an appointment online. We are conveniently located at 10447 Bailey Rd Suite 170 Manvel, TX 77578. We serve patients from Manvel TX, Iowa Colony TX, Alvin TX, Fresno TX, Pearland TX, Rosharon TX, and surrounding areas.