BILLING & INSURANCE

Billing Information

What insurance providers consider Popcare+ in network?

Anthem, CIGNA/Great West, HPS, Humana, IHN, Molina, Prime Health Services Work Comp, Trilogy, United HealthCare, Wheaton Franciscan Provider Network, Wisconsin Health Fund, WPS

What if I don't have health Insurance?

We offer a self-pay option. You will pay a $100 copay at registration initially. We will then send you a bill for the additional cost of services at a highly discounted rate. Most urgent care services at Popcare+ run between $100-250 and your copay is applied toward that amount.

Do you accept state funded insurance like Title 19?

We take care of everyone. You pay the copay required for urgent care services and get the bill for the patient responsibility of the claim.

Who should I call about billing concerns?

We understand billing can be frustrating for patients. If you have any concerns over your bill or feel it was unreasonable, we ask that you call us right away. The billing process and fees can be complicated and varies by insurance company.

Self Pay Flat Rates

Tier 1

Basic Care - $125

Fever, flu, sore throat or cold

Urinary tract infection or bladder infection

Ear infection

Insect bites

Minor burns, scrapes or abrasions ( move to intermediate care if additional supplies are required)

Sinus or upper respiratory infection

Rash, hives or itchy skin

Pink eye

Service may include one basic point of care test (i.e. strep, flu, mononucleosis, bronchitis, etc.) or one pregnancy test

 
 

Tier 2

Intermediate Care - $150

Includes basic care services and one of the following:

One addition point of care test (i.e. strep, flu, mononucleosis, etc.)

Basic EKG

X-ray imaging of one body part or joint

Lower respiratory illness (pneumonia) this includes an X-ray

Nebulizer treatment

Administration of blood draw ( price for tests are separate)

Vaccine or injection (additional charge for medication)

Ear wax removal or irrigation

 
 

Tier 3

Advanced Care - $180

Includes intermediate care service and one of the following:

Simple incision and drainage

Simple single layer of sutures/staples

Dermabond

X-ray imaging of two body parts or joints

 

 
Please Note

Additional Costs

Pricing is based on severity of the patient’s condition: basic, intermediate or advanced. The level of severity will be determined by Popcare+ care provider. Additional lab tests, injections, vaccine doses, procedures or tests may be required depending on the nature of the patient’s present condition. Additional services are not included in the above price package. Each additional service will be charged based on our current fees minus applicable discounts. Payment is required at the time of visit. Self-pay pricing is not available with insurance coverage.

Follow-up: Payment for a follow-up visit is $35.00. This payment only applies for up to seven days after treatment. If an additional visit is needed after the seven day window, a full cash amount is required at the time of visit

Also note if the patient is not able to pay the full amount, a $100.00 is still collected up-front and the patient will be balance billed for the remaining charges., Due to the cost of billing, the price will go up to our standard self-pay rate.

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