Insurance Information at Monarch Medicine Urgent Care
Accepted Insurance Providers
At Monarch Medicine Urgent Care, we are committed to providing accessible and comprehensive healthcare services to our community. Understanding your insurance options is crucial for a seamless healthcare experience. We accept a wide range of insurance plans to ensure you receive the care you need without unnecessary financial stress.
We accept most major commercial insurance providers, including but not limited to:
Aetna Affordable Health Choices® limited benefits insurance plan (SRC only)
Aetna Select℠
Aetna Voluntary Plans
Aetna HMO
Aetna Managed Choice® POS
Aetna Open Choice® PPO
Aetna Choice® POS II (Open Access)
Aetna Select℠ (Open Access)
Aetna Elect Choice® EPO (Open Access)
Aetna Managed Choice® POS (Open Access)
Aetna North Carolina State Health Plan – Effective 2025
Aetna Choice® POS II (Aetna HealthFund®)
Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
Open Access Aetna Select℠ (Aetna HealthFund®)
Open Choice® PPO (Aetna HealthFund®)
Aetna with Innovation Health Aetna Select
Aetna with Innovation Health POS
Aetna with Innovation Health PPO
Aetna National Advantage™ Program24
United Healthcare:
All Savers® Health Plan
Surest
UnitedHealthcare® Charter
UnitedHealthcare® Choice and Choice Plus
UnitedHealthcare® Choice Advanced and Choice Plus Advanced
UnitedHealthcare® Core and Core Essential
UnitedHealthcare EDGE®
UnitedHealthcare Navigate®
UnitedHealthcare® NexusACO®
UnitedHealthcare® Options PPO Plans
UnitedHealthcare® Tiered Benefit Plans
Please note that this list is not exhaustive and may change as insurance companies update their policies. We recommend contacting your insurance provider to confirm that we are in-network with your specific plan.
How Co-Pays & Insurance Billing Works at Monarch Medicine
Co-Payments: For patients with insurance, your co-pay is due at the time of your visit. Our system communicates directly with your insurance provider to determine the exact co-pay required under your policy, allowing us to inform you of any amount due during your visit.
Billing: We handle the billing to your insurance for any remaining balances. After your insurance processes the claim, they will inform us of any amount that is your responsibility, and we will then bill you for any remaining balance.
Self-Pay Patients: If you do not have insurance, Monarch Medicine offers discounted rates for self-pay patients when payment is made at the time of your visit. We provide a 30% discount for patients who pay in full at the time of their service. Please see our Transparent Pricing page for details and examples.
Health Share Programs
We participate in health share or Medi-Share programs by billing visits as self-pay, applying the 30% discount at the time of service, and assisting with any documentation you might need for reimbursement. Additionally, we offer MyChart access, providing immediate access to the documents you might need for quick reimbursement. Please check with your health share program for specific limitations to reimbursement on their end.
Out of Network
We are currently out-of-network with Medicaid and Medicare. Medicare patients can still be seen under our self-pay program ensuring access to quality care. Unfortunately, Medicaid does not permit out-of-network options at this time.
Contact Us
For any questions regarding insurance or billing, please contact us:
Our knowledgeable staff is here to help you navigate insurance questions, provide billing estimates, and clarify payment options, ensuring you have all the information you need for an informed decision.
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Understanding Your Insurance Benefits
It’s essential to understand how your insurance benefits work when visiting Monarch Medicine. Each insurance plan has different coverage levels, copays, and deductibles that can affect your out-of-pocket expenses. Familiarizing yourself with your specific plan will help you make informed decisions about your healthcare needs.
For instance, some plans may cover urgent care visits at a lower copay compared to emergency room visits. Additionally, knowing the details of your coverage can assist in anticipating any costs you may incur during your visit, ensuring you are prepared financially.
Payment Options and Discounts
Monarch Medicine is dedicated to making healthcare affordable, which is why we offer various payment options. In addition to accepting many insurance plans, we provide self-pay options that include a 30% discount at the time of service for those who do not have insurance or prefer to pay out-of-pocket.
We also accept major credit cards and can assist with flexible payment plans to accommodate your financial situation. Our goal is to ensure that all patients receive the care they need without the burden of overwhelming costs.
Frequently Asked Questions (FAQs)
We understand that navigating insurance and payment options can be confusing. Our Frequently Asked Questions (FAQs) section addresses common inquiries regarding accepted insurance providers, billing practices, and payment plans. This resource is designed to provide clarity and support to our patients.
For example, you can find answers to questions like "What should I do if my insurance is not listed?" or "How can I obtain a billing estimate before my visit?" This section aims to empower patients with the knowledge they need to feel confident in their healthcare decisions.
Insurance Claim Process
Understanding the insurance claim process is crucial for ensuring that your visits to Monarch Medicine are covered appropriately. After your visit, our team will submit the necessary claims to your insurance provider, and you will be notified of any remaining balance that you may be responsible for.
We work diligently to ensure that claims are processed efficiently and that you receive timely updates regarding your coverage. If you have questions about the status of your claim or need assistance with documentation, our staff is available to help guide you through the process.
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Understanding Your Insurance Benefits
It’s essential to understand how your insurance benefits work when visiting Monarch Medicine. Each insurance plan has different coverage levels, copays, and deductibles that can affect your out-of-pocket expenses. Familiarizing yourself with your specific plan will help you make informed decisions about your healthcare needs.
For instance, some plans may cover urgent care visits at a lower copay compared to emergency room visits. Additionally, knowing the details of your coverage can assist in anticipating any costs you may incur during your visit, ensuring you are prepared financially.
Payment Options and Discounts
Monarch Medicine is dedicated to making healthcare affordable, which is why we offer various payment options. In addition to accepting many insurance plans, we provide self-pay options that include a 30% discount at the time of service for those who do not have insurance or prefer to pay out-of-pocket.
We also accept major credit cards and can assist with flexible payment plans to accommodate your financial situation. Our goal is to ensure that all patients receive the care they need without the burden of overwhelming costs.
Frequently Asked Questions (FAQs)
We understand that navigating insurance and payment options can be confusing. Our Frequently Asked Questions (FAQs) section addresses common inquiries regarding accepted insurance providers, billing practices, and payment plans. This resource is designed to provide clarity and support to our patients.
For example, you can find answers to questions like "What should I do if my insurance is not listed?" or "How can I obtain a billing estimate before my visit?" This section aims to empower patients with the knowledge they need to feel confident in their healthcare decisions.
Insurance Claim Process
Understanding the insurance claim process is crucial for ensuring that your visits to Monarch Medicine are covered appropriately. After your visit, our team will submit the necessary claims to your insurance provider, and you will be notified of any remaining balance that you may be responsible for.
We work diligently to ensure that claims are processed efficiently and that you receive timely updates regarding your coverage. If you have questions about the status of your claim or need assistance with documentation, our staff is available to help guide you through the process.
