Urgent care near me that accepts blue cross blue shield

When should I choose my primary care doctor (PCP), urgent care or the ER?

If it's not an emergency, your primary care doctor should be your first choice when seeking care. Your PCP can treat common illnesses (cold, flu, sore throat, etc.) and minor injuries and conduct routine exams, vaccinations and screenings.

If you get your health plan through your employer, check with your primary care doctor, behavioral health provider or specialist to see if they offer virtual care. And, be sure to check your cost share. With a virtual visit, you may be able to get care wherever you are for as low as a $0 copay. If your doctor isn’t available, you may be able to use Teladoc, the nation’s largest virtual health care company. Check with human resources to verify your plan’s benefits.

If you buy your own plan for you and your family, virtual visits with designated primary care doctors and 24/7 care with Teladoc are available for a $0 out-of-pocket cost with most plans. Ask your doctor if they offer virtual visits.

To contact Teladoc, you can download the mobile app or call 800-TELADOC.

If you need care right away, use this guide to help decide where to go:

Urgent care centers are less expensive than ERs and often have shorter wait times. Many times, an urgent care center can also provide any necessary labs or X-rays as part of your treatment. Visit an urgent care center for conditions like:

  • Cold and flu-like symptoms
  • Migraines
  • Sinus infection
  • Urinary tract infection
  • Upper respiratory infections
  • Low back pain, strains, sprains and/or breaks
  • Mild burns

To find an in-network urgent care center (UCC) near you, click here.  For a broader list of UCCs, which includes out-of-network options, click here

 In a life-threatening emergency, always call 911 or go to the nearest ER. Examples of symptoms that require ER care include:

  • Severe chest pain (a possible heart attack)
  • Signs of a possible stroke
  • Severe or sudden shortness of breath
  • Sudden or unexplained loss of consciousness

Going to an ER for nonemergent services can be very costly.  You could save on medical costs by choosing to go to an Urgent Care Center (UCC).

Example 1:

Going to an Urgent Care (UCC) for treatment of a Sprained Ankle

  • You Pay - $55*
  • Florida Blue Covers - $103*

Going to an ER for treatment of a Sprained Ankle

  • You Pay - $626*
  • Florida Blue Covers - $1,093*

Note: ER cost includes Facility Fees

Example 2:

Going to an Urgent Care (UCC) for treatment of Flu Symptoms

  • You Pay - $59*
  • Florida Blue Covers - $99*

Going to an ER for treatment of Flu Symptoms

  • You Pay - $765*
  • Florida Blue Covers - $1,367*

Note: ER cost includes Facility Fees

What’s a Value Choice Provider?

As a Florida Blue member, you may save time and money when you see a primary care doctor at any Sanitas Medical Center or Diagnostic Clinic Medical Group location. These Value Choice Providers offer you quality care — under one roof — for many conditions. And with more convenient hours, it’s easier to find time to go to the doctor.

 You'll save time with on-site diagnostic tests at many locations, and you can request a Spanish-speaking doctor.

They offer urgent care and same-day appointments on your schedule — most locations are open late and on weekends. And best of all, if you choose a doctor at Sanitas or Diagnostic Clinic Medical Group as your primary care doctor, you could have appointments for as low as a $0 copay per visit. (This doesn't apply if you have a Health Savings Account plan.)

To find a location near you, visit www.mysanitas.com or www.dc-fl.com.

*These are examples based on averages of all claims from in-network providers for commercial Florida Blue products in the year 2020 and are not specific to any plan.  Members should refer to their plan benefits for more details regarding appropriate member liability for specific services.

If you can't get a same-day appointment with your doctor, urgent care centers are a good back-up option for issues that just can't wait. Their aim is to treat patients quickly and efficiently. Problems like a cut finger, sprained ankle or severe cough are good reasons to visit urgent care.

In North Carolina alone, there are more than 250 dedicated urgent care clinics (such as FastMed™ Urgent Care). Most are open seven days a week and offer extended hours, including weekends and evenings. Some areas even have around-the-clock urgent care options.

Use our tool to find urgent care options near you—then add that information to your Quick Reference Guide.

Good choice for:

  • Preventive care
  • Minor health issues
  • Moderate health issues

What to expect

Typically, you'll wait 30 minutes or less to see a nurse practitioner, physician assistant, or doctor at an urgent care center—and spend 1 hour or less in total for a visit.5 That's longer than the average visit to your doctor, but still much better than a trip to the ER.

The same is true of costs. The average Blue Cross NC member will pay $62 for an urgent care visit.4 That's more than the copayment or coinsurance you'll pay for a doctor visit under most health plans. Yet it's quite a deal compared to the emergency room, where the average member will pay about 10 times that amount!4

Convenience care centers or retail clinics

For minor health issues, convenience care centers are another back-up option. These are walk-in clinics with extended hours, where you can get basic care from a nurse practitioner. Some are even housed within retail stores. They can treat common illnesses like sinus infections, colds, flu, allergies, urinary tract infections or sore throats.

As the name implies, these clinics are convenient. Because the health problems are minor, a typical visit takes just 15 to 20 minutes.7 And the average Blue Cross NC member cost is only $24.4

NOTE: If you do visit an urgent care or convenience care center, let your doctor know about it. That way, your medical record can be updated and stay accurate.

What time are urgent cares least busy?

Midday is the best time to go to the urgent care Wait times are often longer in the early morning and around dinnertime since most people tend to go to urgent care right before or after work or school. Before you leave, check wait times for Allina Health Urgent Care locations.

Can I go to any urgent care with Medi

Yes, many urgent care clinics do accept Medi-cal. At IEHP we have over 90 urgent care clinics in our network that offer Members care afterhours, on weekends and on holidays, when your primary care doctor might be closed.

Does insurance cover emergency room visits?

Know Your ER Rights The Affordable Care Act requires insurance companies to cover care you receive in the ER if you have an emergency medical condition. You don't need to get approval ahead of time, and it doesn't matter whether the hospital or facility is in or outside of your insurance network.

Who owns Blue Cross Blue Shield?

Blue Cross Blue Shield Association (BCBSA) The Association owns and manages the Blue Cross and Blue Shield trademarks and names in more than 170 countries around the world. The Association also grants licenses to independent companies to use the trademarks and names in exclusive geographic areas.