$150 copay for urgent care, even though plan says $20
Located in NY. Long story short, I visited an in-network urgent care clinic yesterday (large urgent care center operator) due to some mild chest discomfort/pain. Receptionist checked me in, and told me my copay was $150, which he also found to be high. Mind you, this was before I even saw a doctor. Anyways, went ahead and just paid it and said I'll figure it out later. Saw a doctor, had an ECG and a X-ray done.
Since the claim is still processing, I can't speak with anyone in the claims department at my insurance provider.
Reviewed my summary of benefits and coverage document from Anthem, which states the following:
Urgent Care – $20/visit (deductible does not apply) Emergency Room Care – $150/visit, then 10% coinsurance
So it seems like this was treated as emergency room care, even though I visited an urgent care clinic. Is this common? Trying to better understand why this may have happened.
submitted by /u/NeatContribution7099
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