Urgent Care Clinic Accepting Insurance in Bixby Knolls, Long Beach, CA

Yes, Reddy Urgent Care accepts both Medi-Cal and Medicare at their Bixby Knolls, Long Beach location. Here’s what you need to know about each program:

Medi-Cal

Medi-Cal is California’s Medicaid program designed to provide health coverage for low-income individuals and families. Reddy Urgent Care participates with various Medi-Cal Managed Care plans, including:

• Global Care IPA
• Health Care LA IPA

Medi-Cal patients must verify that their specific Managed Care plan is accepted. Since Medi-Cal plans can vary widely in terms of provider networks, it’s crucial to ensure that the urgent care center is within your network to avoid out-of-pocket expenses.

Medicare

Medicare is a federal program primarily designed for individuals aged 65 and older, as well as certain younger individuals with disabilities. Reddy Urgent Care accepts Medicare Part B, which generally covers outpatient services. This includes visits to urgent care centers like Reddy Urgent Care.

However, it’s important to note that coverage details can vary between plans, especially with Medicare Advantage Plans. Medicare Advantage is an alternative to traditional Medicare that may provide additional benefits, but the coverage for urgent care services may differ.

To ensure full coverage, confirm with your Medicare provider about your specific plan’s coverage. If you are a Medicare patient, it is advisable to verify all aspects of your coverage, such as co-pays or deductibles, to prevent any surprises when seeking care.

How to Verify Your Coverage:

• Contact the Clinic: To verify that Reddy Urgent Care accepts your Medi-Cal or Medicare plan, call the clinic directly.
• Speak with Your Insurance Provider: For more detailed information about what’s covered under your specific plan, contact Medi-Cal or Medicare directly.

Yes, Reddy Urgent Care offers a variety of vaccinations and preventive care services, and many insurance plans cover these services. Some of the preventive care services you may use insurance for include:

• Flu shots (Seasonal vaccines)
• Sports physicals for children and athletes
• Annual physical exams
• Other vaccines, such as for pneumonia, tetanus, and other vaccines

Under the Affordable Care Act (ACA), most private insurance plans are required to cover certain preventive services at no cost to the patient, provided the services are delivered by an in-network provider. This includes services such as:

• Routine screenings
• Immunizations

However, coverage details may vary depending on your insurance plan. For example:

• Preventive care services covered by ACA may be fully covered with no out-of-pocket expenses.
• Some insurance plans may still require a co-pay or co-insurance for certain types of preventive care, particularly for vaccines or screenings not covered under the ACA.

Next Steps for Verification:

• Check Your Plan: Review your insurance policy or contact your insurer directly to confirm that preventive care and vaccinations are covered.
• Contact Reddy Urgent Care: For confirmation about whether a particular vaccination or preventive service is covered, call Reddy Urgent Care ahead of time.

If you are unsure whether your insurance plan covers urgent care services, the process of confirming coverage is straightforward. Here are a few steps you can take to ensure that your visit to Reddy Urgent Care is covered:

Step 1: Review Your Insurance Policy: Most insurance policies have a benefits booklet or online portal where you can review your plan details. Check to see if urgent care services are included under the covered benefits. Some insurance plans may specify conditions under which urgent care visits are covered, such as the severity of the condition or whether the visit is related to an emergency.

Step 2: Contact Your Insurance Provider: The easiest and most reliable way to verify whether you are eligible for urgent care under your insurance plan is to call the customer service number on the back of your insurance card. Provide your insurance information and ask about the following:

• Is urgent care covered under your plan?
• What are the co-pays or deductibles for urgent care visits?
• Is Reddy Urgent Care an in-network provider?

Step 3: Verify Reddy Urgent Care’s Network Status: Check with your insurer whether urgent care is considered an in-network provider for your insurance plan. If the clinic is out-of-network, you may be responsible for higher out-of-pocket costs.

Step 4: Check for Referrals or Authorizations: Some insurance plans, particularly Health Maintenance Organizations (HMOs), may require a referral from your primary care doctor (PCP) for certain types of care, including urgent care. Be sure to confirm whether your plan requires any of these steps before scheduling your urgent care visit.

The processing time for an insurance claim for an urgent care visit can vary depending on your insurance provider and the specifics of the visit. Typically, insurance claims are processed within 30 to 45 days, although this timeline can be shorter or longer depending on various factors.

Here are some key factors that may influence the processing time:

• Insurance Provider: Different insurance companies have varying claim processing times. Larger insurers may process claims more quickly, while smaller or regional insurers may take a bit longer.
• Complexity of Services Rendered: If your visit involved multiple procedures, lab tests, or imaging (such as an X-ray), the claim may take longer to process compared to a simple consultation.
• Pre-authorization: If prior authorization was required for any services (e.g., specific medications, diagnostic tests, or specialty care), this may extend the processing time.
• Claims Errors: Sometimes claims are delayed due to errors in the information submitted. Ensuring that all details, including your personal and insurance information, are accurate can help avoid delays.

By offering a transparent process for verifying insurance coverage, checking for preventive care coverage, and ensuring clarity on eligibility for urgent care services, Reddy Urgent Care ensures that you have a smooth and efficient healthcare experience. For more information, please contact us. We are located at 4237 Atlantic Ave Long Beach, CA 90807. We serve patients from Bixby Knolls Long Beach CA, Carson CA, Bellflower CA, Signal Hill CA, Belmont Shore CA, and surrounding areas.