Urgent Care services are available at multiple Partners HealthCare locations. The billing information below does not apply to Urgent Care services provided at centers named “Partners Urgent Care” located in Boston and surrounding communities.
Since the locations listed below are not considered by health insurance plans to be Urgent Care Centers, your co-payment benefits for urgent care services typically will not apply. Instead, your visit to these locations will likely be billed either as a physician office visit or a hospital outpatient visit.
Urgent Care services provided at the following Partners HealthCare locations are typically billed to your health insurance plan as a physician or nurse practitioner office visit:
Urgent Care services provided at the following Partners HealthCare locations are typically billed to your health insurance plan as a hospital outpatient visit:
You can find information about whether your visit is a physician office or hospital outpatient visit in notices in our waiting rooms, on the websites of our hospitals and physician groups, and in this guide.
For both physician office visits and hospital outpatient visits, your health insurance plan may require you to get a referral or authorization. In addition, Partners HealthCare providers may be considered “In Network” or “Out of Network” depending on the specifics of your health insurance plan, which could affect the amount you pay.
No matter the location, if a procedure is performed during the visit, you may have further out-of-pocket costs for additional physicians’ services and for use of the hospital facilities and staff, even if the procedure was performed in the same exam room as the visit with the physician. Your health insurance plan may apply these additional physician and hospital charges to your annual deductible, and after you have paid your deductible in full, you may be responsible for an additional co-insurance payment.
If your physician ordered laboratory tests or imaging services (such as X-ray, CT or MRI), you will be billed for these tests by the hospital, clinical laboratory, or imaging center, and you may also be billed for the services of the physicians (usually pathologists and radiologists) who interpreted the test results.
If you are a Medicare beneficiary and your visit takes place in a hospital outpatient location, you will be responsible for a Medicare Part B out-of-pocket co-insurance payment of approximately $25 for the hospital facility charge. Procedure charges or other testing could increase your out-of-pocket expense.
It is your right to receive an estimate of the cost of your visit in advance of the visit. Please contact Partners Patient Billing Solutions (see below) at least two business days prior to your visit to get an estimate. Please have as many details as possible about the upcoming visit, including the provider name, location, and details of the planned service or procedure.
Please contact the Member Services department of your health insurance plan to verify your coverage and financial responsibility for Urgent Care services provided at any of the locations listed on this page. This phone number is usually located on your insurance card.
Patient Billing Solutions
399 Revolution Drive, Suite 410
Somerville, MA 02145–1462
Monday–Friday, 8:00 AM to 4:30 PM
Updated April 2019
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