All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. do not have insurance or are looking to pay for services out-of-pocket, Prime Urgent Care offers some of the lowest rates on visits and x-rays in the Houston. Before making a final decision, please read the Plan’s federal brochure (RI 71-005). This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. The formulary and/or pharmacy network may change at any time. Enrollment in MPDP depends on contract renewal. The FEP Medicare Prescription Drug Program is a prescription drug plan with a Medicare contract. You will be responsible for the remaining 20 of the Medicare-approved expenses. Medicare pays 80 of the visit cost after the Part B deductible is met. 3 You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. This Part B coverage includes unexpected injuries or illnesses that are not emergencies.How does urgent care compare to an emergency. Most centers are open seven days a week with evening hours and an appointment is usually not needed. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. What exactly is an urgent care center Urgent care centers provide immediate medical treatment for minor and moderate illnesses and injuries like cuts and scrapes or respiratory and sinus infections.1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care.^ What you’ll pay for a 30-day supply of covered drugs.Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care.Ĭost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Tier 4 (Preferred specialty): $85 copay 2 35 of our allowance Mental Health Visits 25 copay 35 of our allowance Virtual Doctor Visits by Teladoc 0 for first 2 visits 10 copay all additional visits. ![]() Visit the Medicare page for more information. 25 copay for primary care 35 copay for specialists. ![]() Tier 5 (Non-preferred specialty): $110 copay 2Īvailable to members with Medicare Part B primary only. ![]() Tier 4 (Preferred specialty): $85 copay 2 Tier 3 (Non-preferred brand): 60% of our allowance ( $90 minimum) 2 $0 for first 2 visits and all nutrition visits Here are some of the most common types of X-rays that may be offered at urgent care, according to the Mayo Clinic: Chest X-ray - This type of X-ray is used to diagnose lung and heart conditions, such as pneumonia, bronchitis, and congestive heart failure. Nothing for covered preventive screenings, immunizations and services
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