Is Medicare Accepted at Family Medicine Healthcare?

We want our patients to feel confident and informed about their healthcare coverage and costs. If you are enrolled in Medicare, it’s important to understand the out-of-pocket costs you may encounter, including co-payments, coinsurance, and deductibles, especially as they apply to the primary care and preventive services we provide.

Medicare Part A primarily covers inpatient hospital care. While most of your visits to Family Medicine Healthcare will be outpatient services, it’s helpful to know that the Part A deductible is $1,632 per benefit period. If you are hospitalized and require follow-up outpatient care with our team, knowing these costs can help you plan ahead.

Medicare Part B is especially relevant to the care you receive at Family Medicine Healthcare. Part B covers outpatient services such as doctor visits, annual wellness exams, preventive screenings, and lab work. The Part B deductible is $240.

After you meet this deductible, Medicare generally covers 80% of the Medicare-approved amount for most services, and you are responsible for the remaining 20% coinsurance. Some services may have additional co-payments or different cost-sharing structures, so it’s important to check your plan details or ask our staff for guidance.

If you are enrolled in a Medicare Part D prescription drug plan, you may also have an annual deductible (up to $545) and co-payments or coinsurance for your medications. Our care team can work with you and your pharmacist to help you understand your prescription costs.

For patients with a Medicare Advantage (Part C) plan, their co-payments, coinsurance, and deductibles may differ from Original Medicare. These plans often have their own cost-sharing rules for office visits, preventive care, and prescriptions. We recommend reviewing your plan’s summary of benefits or bringing it with you to your next appointment—our staff can help you clarify what your out-of-pocket expenses will be.

At Family Medicine Healthcare, we are committed to providing accessible, patient centered care for you and your loved ones. Our clinic is open Monday to Friday. Wait times may vary based on the time of day and the number of patients being seen; however, most patients are seen within 15 to 30 minutes of their scheduled appointment. Please note that walk-in visits are welcome, but you may experience longer waits during peak hours.

To help us deliver timely and efficient care tailored to your family’s needs, we strongly encourage scheduling your appointment in advance. You can easily book your visit by calling our office or using our convenient online booking system. Scheduling ahead not only minimizes your wait time but also increases the likelihood of seeing your preferred Family Medicine Healthcare provider at a time that works best for you. Your health and comfort are our top priorities, and we look forward to caring for you and your family.

Yes, Medicare generally covers urgent care visits, including those at Family Medicine Healthcare, provided that the clinic accepts Medicare assignment. If you have Original Medicare (Part B), your medically necessary urgent care services at Family Medicine Healthcare will usually be covered. After you meet your Part B deductible, Medicare typically pays 80% of the approved amount for your visit, and you are responsible for the remaining 20% as coinsurance.

If you are enrolled in a Medicare Advantage plan, your coverage for urgent care at Family Medicine Healthcare may differ. Medicare Advantage plans often have their own provider networks, copayments, and coverage rules, so it’s important to check if Family Medicine Healthcare is in-network for your specific plan. Visiting an out-of-network provider could result in higher out-of-pocket costs.

To ensure you receive the maximum coverage for your visit, always bring your Medicare card and any supplemental insurance information with you. If you have questions about your coverage, feel free to contact Family Medicine Healthcare. Our staff can help you verify your specific benefits, or you can check directly with your Medicare plan before your appointment.

At Family Medicine Healthcare, we understand that sudden illnesses or injuries can happen at any time, and you may need immediate medical attention that isn’t severe enough for the emergency room. If you are a Medicare beneficiary, you can rest assured that Medicare covers a wide range of urgent care services.

If you have Original Medicare (Part B), medically necessary urgent care visits at Family Medicine Healthcare are typically covered. This includes your visit to our office for urgent issues, as well as any diagnostic tests, lab work, or X-rays our providers may order during your appointment. If you require treatments or minor procedures during your urgent care visit, Medicare will usually help cover those services. Should you need prescription medications, durable medical equipment, or referrals to specialists, Medicare provides coverage according to its standard rules for those services.

If you are enrolled in a Medicare Advantage (Part C) plan, your urgent care visit at Family Medicine Healthcare is also covered. Each plan may have its own network of approved providers, so we encourage you to verify that Family Medicine Healthcare is within your network. Coverage details—such as copayments and out-of-pocket costs—may vary based on your specific plan.

It’s important to remember that Medicare covers urgent care visits and related medically necessary services, but routine checkups or non-urgent visits are billed differently. Additionally, ambulance services to or from Family Medicine Healthcare are only covered under Medicare if they are medically necessary and meet specific criteria.

If you have any questions about your Medicare coverage for urgent care or other services at Family Medicine Healthcare, our team is here to help. For more information, please contact us today or simply book an appointment. We are conveniently located at 3925 Portsmouth Boulevard, Chesapeake, VA 23321. We serve patients from Chesapeake VA, Portsmouth VA, Norfolk VA, Suffolk VA, Virginia Beach VA, and Hampton VA.