1. 5527 POINTS
    Marlin McKelvy
    President, Consumer Directed Benefit Solutions, Memphis, Tennessee
    Yes. Now, how it is covered can vary significantly from one insurance carrier to another and even within the various health insurance plan options a specific health insurance carrier offers. So, your coverage for an Urgent Care visit can range all the way from a simple copayment to being subject to your plan's deductible and coinsurance requirements depending upon the plan you are enrolled in. Urgent Care is for those situations such as minor injuries or sudden onsets of mild illnesses that don't justify the use of a hospital emergency room but require timely attention that can't be provided by your primary care physician (weekends, doctor is all booked up that day, etc.). Services delivered in an Urgent Care setting are usually far less expensive than the same treatment received in an emergency room so most health plan designs are set up to encourage their members to use an Urgent Care/Minor Medical delivery site as opposed to going to the emergency room.
    Answered on September 23, 2014
  2. 11783 POINTS
    Larry GilmorePRO
    Agent Owner, Gilmore Insurance Services, Marysville, Washington State
    Does health insurance cover urgent care? In most cases yes, but it will depend on the plan you have. Some plans cover urgent care very well to encourage it's use over emergency room care. Urgent care was created to help reduce the excessive cost of people using emergency rooms for non emergency situations. More than likely your health plan provides favorable plan design for the use of urgent care.
    Answered on October 16, 2015
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