Medicare Copay For Urgent Care
Get to know our new Medicare Advantage (Medicare Part C) plans, designed exclusively for the people of Maryland.
Available for a copay or coinsurance before you meet your deductible. For example, primary care, specialty care, and urgent care visits are not subject to the deductible. And to encourage you to receive preventive care, many of these services are available for no charge before you meet your deductible. A Medicaid plan with a $0 monthly plan premium and low or no copays for doctor visits, lab tests, prescription drugs, hospitalization, urgent care, emergency care, maternity, dental, vision, hearing, wellness, and more. Sponsored by New York State, this plan is for qualified low-income families and individuals under 65. Medicare Part B (Medical Insurance) usually covers emergency department services when you have an injury, a sudden illness, or an illness that quickly gets much worse. Your costs in Original Medicare. You pay a Copayment for each emergency department visit and a copayment for each hospital service. “Welcome to Medicare” preventive visit (one-time) You pay nothing. Emergency Care – If you are admitted to the hospital within 24 hours, you do not have to pay the copay. Emergency, urgent care and ambulance services outside of the United States are covered up to a maximum of $25,000 each year. This includes emergency ambulance. Institutional Care (inpatient hospital care, rehab care, etc.) $75. 10% of the cost the agency pays for the entire state. 20% of cost the agency pays for the entire state. Non-Institutional Care (physician visits, physical therapy, etc.) $4.00. 10% of costs the agency pays.
CareFirst BlueCross BlueShield Advantage Core (HMO)
Our Core plan covers all your Medicare covered benefits, prescription drug coverage and additional benefits like dental, vision, fitness and more all at a low premium.
Enroll NowCareFirst BlueCross BlueShield Advantage Enhanced (HMO)
Our Enhanced plan is packed with additional benefits beyond Medicare with no to low copays. This plan also offers a few extra benefits beyond the Core plan like routine chiropractic, acupuncture and podiatry.
Members of this plan can also enroll in our Dental and Vision Add-On. For only an extra $17 a month, you get even more comprehensive dental and vision coverage.
Enroll NowAre you eligible for Medicare through Medicaid?
2021 Dual Prime Plan (HMO D-SNP)
Medicare Urgent Care Billing
The 2021 Dual Prime plan (HMO D-SNP) is a Medicare Advantage Prescription Drug Plan for those with both Medicare and Medicaid (Maryland Medical Assistance Program) as a Qualified Medicare Beneficiary (QMB) or a Full Benefit Dual Eligible (FBDE). This plan combines your Medical, Hospital and Prescription Drug coverage with extra services and personalized programs focused on improving your health.
Enroll NowWhich Medicare Advantage Plan Is Right for You?
That depends on your health needs and your budget. Use the chart below to get a sense of what each plan covers. You must continue paying your Medicare Part B premium in addition to the premiums outlined below.
| Benefit | CareFirst BlueCross BlueShield Advantage Core (HMO) | CareFirst BlueCross BlueShield Advantage Enhanced (HMO) |
|---|---|---|
| Monthly Premium | $35.00 Enroll Now | $95.00 Enroll Now |
| Out-Of-Pocket Maximum | $7,550.00 | $6,550.00 |
| Prescription Drug Coverage | Generics starting at $7 copay—Mail order available | Generics starting at $5 copay—Mail order available |
| Medical Deductible | $0.00 | $0.00 |
| Annual Drug Deductible | $0.00 | $0.00 |
| Primary Care -Provider (PCP) | $5.00 copay | $0.00 copay |
| Specialist Referrals from your PCP may be required before seeing a specialist. | $50.00 copay | $30.00 copay |
| Urgent Care | $30.00 copay | $20.00 copay |
| Emergency Room Visit | $90.00 copay | $90.00 copay |
| Medicare-Covered Preventive Services | $0.00 copay | $0.00 copay |
| Lab Services | $0.00 copay | $0.00 copay |
| Inpatient Hospital | $350.00,copay, days 1-5 | $275.00 copay, days 1-5 |
| Outpatient Hospital Services | $250.00 copay | $150.00 copay |
Find A Doctor
Find out if your doctors are part of our network.
Find A DoctorSearch for Your Prescriptions
Both plans include Rx coverage, including 30-,60- and 90-day supplies via mail order.
Enhanced Plan
Search for Your PrescriptionsBoth Plans Have Added Benefits
Enroll in either one of our Medicare Advantage plans for:
Routine Acupuncture, Chiropractic, Podiatry
For more about our plan coverage, review our Evidence of Coverage Core or Evidence of Coverage Enhanced documents.
Enroll by Phone
Medicare Copay For Urgent Care Providers
To reach one of our Licensed Sales Agents call 833-987-0765 Monday through Friday, 8:00 a.m.-6:00 p.m., and Saturday 8:00 a.m.- 12:00 p.m.
Enroll by Mail
Download the application, print and mail to
CareFirst Advantage Inc.
Enrollment and Correspondence
PO Box 3236
Scranton, PA 18505
Our Partners in Health
We’ve partnered with major health systems to increase your access to care statewide.
Cigna Urgent Care Copay
- MedStar Health
- Privia Medical Group
- Luminis Health
- AAMC
- LifeBridge Health
- Adventist Health
- Frederick Memorial Health System
- Anne Arundel Medical Center
- Adventist HealthCare
- Carroll Hospital Center, Inc.
- Doctor’s Community Hospital
- Frederick Health
- Northwest Hospital Center, Inc.
- Sinai Hospital of Baltimore
Medicare Copay For Urgent Care Locations
Plus, we’ve partnered with other local community providers, labs and facilities.
Our Service Area
CareFirst offers Medicare Advantage coverage to residents of the following Maryland counties:
Does Medicare Cover Visits To Urgent Care
- Anne Arundel
- Baltimore
- Baltimore City
- Carroll
- Frederick
- Harford
- Howard
- Montgomery
- Prince George’s