Urgent Care That Accepts Medicare in Anaheim, CA

Yes, Medicare does cover visits to urgent care clinics like SoCal Urgent Care in most cases. Original Medicare, which includes Part B – Medical Insurance, typically covers medically necessary services. This means that if you visit our clinic for evaluation or treatment of a sudden illness or injury that is not a medical emergency, Medicare Part B typically helps cover the cost of your visit.

You are responsible for your annual Part B deductible, and after that, you generally pay 20% of the Medicare-approved amount for services, unless you have additional coverage that helps with these costs.

If you have a Medicare Advantage Plan (Part C), your coverage for urgent care visits may have different copayment amounts or rules. However, all Medicare Advantage Plans are required to cover urgent care at least as well as Original Medicare. We recommend checking with your specific Medicare Advantage plan provider to understand your copays, coverage details, and any network restrictions that might apply for visits to SoCal Urgent Care.

Medicare does not cover non-medically necessary visits, such as those for cosmetic reasons. Additionally, while your urgent care visit is covered, any extra services you receive, such as lab tests, X-rays, or prescription medications, may have separate costs depending on your coverage.

If you’re a Medicare beneficiary and need to visit SoCal Urgent Care, it’s important to know what your out-of-pocket costs might be. Here’s what you should expect based on your Medicare coverage:

Original Medicare (Part A & Part B)

• At SoCal Urgent Care, urgent care visits are typically covered under Medicare Part B.
• You are responsible for the annual Part B deductible ($240 in 2024, if not already met).
• After meeting your deductible, you will usually pay 20% of the Medicare-approved amount for your urgent care visit. Medicare pays the other 80%.
• If you have not met your deductible, you will need to pay that amount first.
• It’s important to make sure we accept Medicare assignment to avoid additional charges. If not, you could face higher out-of-pocket costs.

Medicare Advantage (Part C)

• If you have a Medicare Advantage (Part C) plan, your costs for visiting will depend on your specific plan.
• Most Medicare Advantage plans charge a set copayment for urgent care, often between $20 and $50 per visit, but this varies by plan.
• Your plan may also have deductibles or other cost-sharing, so check your plan’s summary of benefits or contact your insurance provider for details.

Additional Costs

Regardless of your Medicare coverage, you will be responsible for the full cost of any services or treatments that Medicare does not cover, such as certain vaccines, medications, or procedures not deemed medically necessary.

If you have Medicare and are considering using SoCal Urgent Care for your healthcare needs, it’s important to understand how Medicare coverage and costs may apply to your visit.

Medicare coverage is divided into different parts, and the amount you pay depends on your specific coverage:

Original Medicare (Part A & Part B):

Part A generally covers hospital stays and is premium-free for most people if you or your spouse paid Medicare taxes for at least 10 years. If not, you may pay up to $505 per month (2024 rates).

Part B covers medical services like doctor visits and urgent care. Most people pay a monthly premium of $174.70 in 2024, though higher-income individuals may pay more. There’s also a $240 deductible, after which you typically pay 20% of the Medicare-approved amount for covered services—including urgent care visits.

Medicare Advantage (Part C):

Some patients use a Medicare Advantage plan, which may have different premiums, deductibles, and copayments. These plans often include additional benefits and may set fixed copays for urgent care visits, depending on the plan and location. Check with your plan to see what you’ll pay at SoCal Urgent Care.

Medicare Part D & Medigap:

Part D covers prescription drugs, with costs varying by plan.

Medigap is supplemental insurance that can help cover out-of-pocket expenses like copays and coinsurance for urgent care services.

If you have Medicare, you may be eligible for telehealth visits at SoCal Urgent Care. Medicare has expanded its telehealth coverage, making it easier for patients to access urgent care.

Medicare Part B currently covers telehealth visits for evaluation and management services, including urgent care visits, when they are medically necessary. This means you can connect with our provider through a secure video or audio call for many non-emergency medical concerns. The co-payments and deductibles for these telehealth visits are usually the same as what you would pay for an in-person urgent care visit.

Before scheduling your telehealth appointment, please confirm that SoCal Urgent Care accepts your Medicare plan and offers telehealth services for your specific needs. Medicare Advantage (Part C) plans may offer additional telehealth benefits, so check with your plan provider for details.

If you are searching for urgent care doctors who accept Medicare, SoCal Urgent Care is here to help. We understand how important it is to find a provider who participates in your insurance plan, especially when you need immediate medical attention.

How to Confirm Your Coverage

• Call Us Directly: Reach out to SoCal Urgent Care and our friendly staff will gladly confirm whether your specific Medicare plan is accepted and answer any questions about billing or coverage.
• Check Online: Visit our website to view a list of accepted insurance plans, including Medicare. We update our insurance information regularly to keep our patients informed.
• Contact Medicare: You can also visit our official website and use their “Find & Compare” tool to locate SoCal Urgent Care or other nearby clinics that accept Medicare. Enter your zip code and select “Urgent Care” to see local options.
• Speak with Your Medicare Plan: If you have a Medicare Advantage plan, coverage can sometimes vary. We recommend contacting your plan’s customer service to confirm that SoCal Urgent Care is in-network.

Prepare for Your Visit

Before coming in, please bring your Medicare card and a photo ID. If you have any questions regarding billing or urgent care services, our team is happy to assist you. By choosing SoCal Urgent Care, you can expect quality medical care with the peace of mind knowing your Medicare coverage is accepted. For more information, please contact us or request an appointment online. We are conveniently located at 710 S Brookhurst St. Suite A, Anaheim, CA 92804. We serve patients from Anaheim CA, Buena Park CA, La Palma CA, Cerritos CA, Cypress CA, Stanton CA, Garden Grove CA, Fullerton CA, Placentia CA, and Olive CA.