Financial Responsibility

You, the patient, are ultimately responsible for knowing what your insurance company will and will not cover.

You, the patient, are ultimately responsible for all charges associated with your care regardless of insurance coverage.

If you have lab work or other tests, you may receive bills from multiple parties, including LabCorp.

Co-Payments, Co-Insurance and Deductibles: We are credentialed as Primary Care with Most Insurances

Your co-payment and coinsurance is a contractual agreement between you and your insurance company which states that you are expected to pay the co-payment or coinsurance at the time of your visit. For most insurances, your co-pay will be your Primary Care Co-pay.

If you have an un-met deductible, we will collect the amount of the visit up to the un-met deductible amount. Any overages paid will be refunded to you.

Participating Insurances

Masonboro Urgent Care participates with a variety of insurance plans. It is your responsibility to:

• Bring your insurance card and picture ID to every visit.
• Be prepared to pay your co-pay before each visit. Payment can be made by cash, check or credit card.
• For medical care not covered under insurance, payment will be your full responsibility at time of service.

In-Network Insurances as Primary Care Office :

• BCBS (except HMO)
• United Health Care (except HMO)
• Aetna (except HMO)
• Cigna (except HMO)
• GWI/Cigna
• First Health/Medical Mutual
• Humana (except HMO)
• PHCS (call for eligibility)
• MultiPlan
• Tricare
• Medicare (except HMO)
• Medicaid
• Coventry Health Care of the Carolinas
• Medcost Preferred and Medcost Benefit Services
• Prime Health
• Healthgram
• Three Rivers Provider Network

As a courtesy to our patients, we will file your claim for all insurance companies.

Non-Participating Insurances

If you have insurance that our office does not participate in, we will collect payment for services rendered at the time of service and our business office will file a claim as a courtesy. However, if payment is not received within 60 days of filing, any and all charges not paid at time of service will become patient responsibility, immediately due and payable.

Motor Vehicle Accidents and Third-Party Payers

Our providers are not seeing motor vehicle accident patients at this time.  We do not file claims with third-party payers.

On-the-Job Injuries

We accept patients for treatment of on-the-job injuries. We will need employer authorization prior to visit as well as screening and billing information. We will file your claim for you and bill your employer’s worker’s compensation plan.

Authorizations/Referrals

Much like ER visits, it is the patient’s responsibility to contact your primary care provider for any required referrals and/or comply with your insurance carrier’s policy regarding authorizations for urgent care services. The patient is responsible for any services denied for no referral or authorization.

Additional Charges

For checks returned for non-sufficient funds, a $25 fee will be charged to your account.

For copies of x-rays or medical records a fee may be charged.

After-hours/weekend fee $25. This applies to most all office visits; this fee is filed to all insurances as well as collected from self-pay payers.

For forms to be filled out by providers’ office there is a minimum fee of $20.

Payment Arrangements

Payment arrangements can be made if needed. Please contact the office between 8am and 4pm to discuss terms.

Parental Financial Responsibility

The parent who brings their child in the office is ultimately responsible for services rendered at the time of service, regardless of any custodial agreements the parents have.

If someone other than the parent plans to bring a child in for a visit, you must have written permission from a parent.