Paul Sanchez
Patient First is an instant clinic that accepts most major health insurance plans. However, there is conflicting information about whether they accept Medicaid. While some sources indicate that Patient First does accept Medicaid, the company's website specifically lists Medicaid as one of the insurance plans they do not accept. It is always best to check with the insurance plan and Patient First directly to confirm participation and avoid any unexpected out-of-pocket expenses.
| Characteristics | Values |
|---|---|
| Does Patient First take Medicaid Insurance? | Yes, Patient First takes Medicaid insurance. |
| Accepted Insurance Plans | Blue Cross Blue Shield, Florida Blue PPO, Medicare, Railroad Medicare, Medicare Advantage Plans (most) |
| Insurance Plans Not Accepted | Humana Medicare Advantage, Aetna, Aetna Better Health, Cigna, Cigna PPO, United Healthcare, UHC Community (Medicaid) Choice Fund PPO, ClaimDOC, Coventry (HMO, PPO, POS) First Health Network, GEHA, Great West Hooray Health, Meritain Health, PHCS (through First Health Network ONLY), Sedgwick, Tricare Standard, Tricare Prime, Tricare For Life, UMR, Blue Care, Blue Select, Capital Health Plan, Florida Blue HMO, Humana Commercial, Humana Medicare Advantage Plans, Most HMOs (excluding UHC HMO), Pathway, Simply Blue, Sunshine Health, Choice Fund PPO |
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What You'll Learn
Patient First does take Medicaid insurance
It is always recommended to check with your specific insurance plan to confirm participation with Patient First, as the list of accepted insurance plans provided by Patient First should be used only as a guide and is subject to change. This can be done by calling your insurance company using the number on the back of your insurance card.
In Maryland, for example, Patient First accepts Blue Cross Blue Shield, Florida Blue PPO, Medicare, Railroad Medicare, and most Medicare Advantage Plans. They do not accept Humana Medicare Advantage, Aetna, Aetna Better Health, Cigna, Cigna PPO, or United Healthcare, among others.
It's important to regularly review the list of accepted insurance plans provided by Patient First, as it may change over time. Additionally, if you have an employer-sponsored health plan where Patient First is not in-network, you may still be seen as a self-pay patient.
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$11.99 $24.99
Patient First also accepts Medicare
Patient First accepts most insurance plans, including Medicare. This means that if you have Medicare coverage, you can use your insurance at Patient First and they will bill your insurance company within two days of the date of service.
Medicare is a government-provided health insurance program for people over 65 or with qualifying disabilities. It covers a range of services, including hospital stays, doctor visits, prescription drugs, and more. Medicare Advantage Plans are a type of Medicare plan offered by private insurance companies that provide the same benefits as original Medicare, but often with additional coverage for things like vision, dental, and hearing.
Patient First does accept Medicare Advantage Plans, with the exception of Humana Medicare Advantage Plans, which they explicitly state they do not accept. It is important to note that if you have Medicare, you are not eligible for a Good Faith Estimate, which is an estimate of the expected cost of healthcare items and services. This is because Medicare is a government-provided insurance plan, and patients with government health coverage are not eligible for Good Faith Estimates.
If you have any questions or concerns about your Medicare coverage at Patient First, you can contact their billing department hotline at (800) 447-8588, Monday through Friday, from 8:30 a.m. to 5 p.m.
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However, they do not accept all insurance plans
Patient First accepts most insurance plans, including Blue Cross Blue Shield, Florida Blue PPO, and Medicare. They also work with Railroad Medicare and most Medicare Advantage Plans. However, they do not accept all insurance plans. For example, they do not accept Humana Medicare Advantage, Aetna, or Cigna.
In terms of Medicaid, there is conflicting information. One source states that Patient First does accept Medicaid. However, another source states that Patient First does not accept Medicaid. This discrepancy could be due to varying policies in different states or changes over time. It is always best to check with the specific Patient First location or your insurance provider to confirm coverage.
Additionally, it is important to note that even if Patient First is not in-network with your insurance plan, you may still be able to receive services as a self-pay patient. This option is available for those with employer-sponsored health plans where Patient First is not in-network. However, if you have a Medicaid or Medicare Advantage plan where Patient First is not in-network, you are not eligible to be seen as a self-pay patient.
Furthermore, it is worth mentioning that Patient First is not the only option for those seeking instant clinics that accept Medicaid. Other options include MedExpress, MinuteClinic, and Walmart's Clinic. These alternatives may be worth considering if you are facing challenges with Medicaid acceptance at Patient First or if there are no Patient First locations nearby.
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Patients with Medicaid can also try dispatchhealth
Patients First does not accept Medicaid insurance. However, patients with Medicaid can try DispatchHealth, which works with most major insurance providers, including Medicare Advantage plans. The co-pay for a same-day medical care visit with DispatchHealth ranges from $0 to $45, depending on the patient's insurance coverage and whether they have met their annual deductible. If a patient is unsure about their coverage details, they should check with their health plan.
DispatchHealth provides same-day medical care at home, bringing emergency room-level care to the patient's bedroom. They employ physicians, physician assistants, nurse practitioners, and registered nurses—the same healthcare professionals found in an emergency room or hospital. An emergency medicine doctor is on call at all times.
If a patient does not have insurance or if DispatchHealth does not work with their insurance provider, they can still receive care at a flat rate of $375 per visit. This rate covers everything, including administering medication, procedures, and on-site lab tests. Patients can pay by credit, debit, health savings account (HSA), health reimbursement account (HRA), or flexible spending account (FSA).
In addition to same-day medical care, DispatchHealth also offers hospital-alternative care at home through a referral from the patient's healthcare or insurance provider. Their teams provide hospital-level care led by a hospitalist physician and supported by a physician assistant or nurse practitioner, along with 24/7 virtual monitoring. DispatchHealth partners with value-based care networks to prioritize high-need patients in their scheduling.
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Or, MedExpress, MinuteClinic, or WalMart's Clinic
MinuteClinic, which is owned by CVS Health, accepts most insurance plans, including Medicare and Medicaid. CVS Health has been a market leader in Medicare management since 2006 and has always worked to meet the needs of Medicare and Medicaid members. Medicare and Medicaid have different eligibility requirements and cover different services, so it is recommended that you visit the CVS Medicare Center Medicare Information page or contact your local Medicaid office for more information.
Walmart Health also provides healthcare services, and while they do not explicitly state that they accept Medicaid, they do mention that they offer support during the Special Enrollment Period if a life event causes you to lose your Medicaid eligibility. Walmart Health accepts Medicare Advantage plans from providers such as UnitedHealthcare, Humana, Blue Cross Blue Shield, Centene, and Cigna. They also offer same-day and weekend appointments for check-ups, preventative care, and managing health problems like diabetes and high blood pressure.
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Frequently asked questions
Yes, Patient First takes Medicaid insurance.
You can find a list of accepted insurance plans on the official website of Patient First.
No, Patient First does not accept all Medicaid plans. For example, UHC Community (Medicaid) Choice Fund PPO is not accepted.
No, if you have a Medicaid plan where Patient First is not in-network, you are not eligible to be seen as self-pay.
Patient First accepts most major insurance plans, including Blue Cross Blue Shield, Florida Blue PPO, and Medicare.
