Insurance & Billing

Insurance & Billing at Right Care Family Medicine

Right Care Family Medicine accepts most major insurance plans and offers cash-pay options for patients who prefer to pay directly. Here’s what we accept, what to expect at check-in, and how to handle billing questions.

Accepted Insurance

Insurance Plans We Accept

We’re committed to keeping our insurance list current. Plans vary, so if you don’t see your plan or you’re not sure whether we’re in network, please call our office before your appointment. We’re happy to verify your coverage.

Aetna

Ambetter

Amerihealth Caritas

Blue Cross Blue Shield

Cigna

Humana

Medicaid

Medicare

Tricare

UnitedHealthcare

Wellcare

Cash Pay Available

Don’t see your plan?

Call us at 919-299-9975. We may still be able to help, and we’re transparent about what each visit costs whether you use insurance or pay out of pocket.

Coverage Basics

Insurance Terms, in Plain Language

A few terms come up often when you use your insurance. Here is what they mean for your visit at Right Care Family Medicine.

Referral

Some plans require a referral before you see a specialist. Right Care is a primary care practice, so you don’t need a referral to see us.

Prior Authorization

Certain tests and procedures need approval from your plan first. Ask us if you’re unsure whether something needs approval.

Copay, Deductible & Coinsurance

Your copay is a set fee per visit. Your deductible is what you pay before coverage starts. Coinsurance is your percentage after that.

Out-of-Network Benefits

If a provider isn’t in your plan’s network, your plan may cover less of the visit. Call us to confirm your coverage before you book.

Before Your Visit

Four Steps to a Smooth Check-In

A little preparation helps us verify your coverage quickly and start your visit on time.

STEP 01

Check your coverage

Call 919-299-9975 to confirm your plan before scheduling. We’re happy to verify your coverage.

STEP 02

Bring your card & photo ID

Bring your current insurance card and a photo ID. If your insurance has changed recently, bring the newest card.

STEP 03

Bring your medication list

Include prescriptions, over-the-counter medications, vitamins, and supplements, or bring the bottles.

STEP 04

Complete forms online

Save about 15 minutes in the waiting room by completing new patient forms in the patient portal before you arrive.

Cash-Pay Patients

Transparent Cash-Pay Options

If you don’t have insurance, prefer not to use it, or have a high-deductible plan, we offer transparent cash-pay rates. Pricing is shared up front.

Cash-pay patients receive the same care, the same time with Dr. Wright, and the same access to the patient portal as anyone else. Ask our front desk for current self-pay pricing when you schedule.

Your right to a Good Faith Estimate

Under the No Surprises Act, patients who are uninsured or not using insurance can receive a Good Faith Estimate of expected charges before scheduled care. Ask us for yours, or visit cms.gov/nosurprises.

Payment Options

Flexible Ways to Pay

We accept payment online through the patient portal, by phone, by mail, or in person at the time of your visit.

Credit & Debit Cards

Major credit and debit cards are accepted in the office, by phone, or online through the portal.

HSA & FSA Cards

Use your Health Savings or Flexible Spending Account card for eligible visits and services.

Checks

Checks are accepted in person or by mail.

Pay Online

Pay your bill anytime through the secure patient portal.

Understanding Your Bill

How to Read Your Statement

After your visit, your insurance is billed first. Once they process the claim, you’ll receive an Explanation of Benefits (EOB) from your insurer showing what they paid and what you may owe. A bill from our office will follow if there’s a remaining balance.

If something on your bill doesn’t look right, please call us. Most billing questions can be resolved in a single phone call, and if there’s an error, we’ll fix it.

Billing Questions?

For specific billing questions, call our office during business hours and ask for the billing team.

FAQ

Insurance & Billing Questions

Can’t find what you’re looking for? Call our office at 919-299-9975 and ask for the billing team.

Do you accept my insurance?

We accept most major insurance plans, including Aetna, Ambetter, Amerihealth Caritas, Blue Cross Blue Shield, Cigna, Humana, Medicaid, Medicare, Tricare, UnitedHealthcare, and Wellcare. Because plans vary, call us at 919-299-9975 to confirm your specific plan before scheduling.

No. As a primary care practice, we don’t require referrals. If your insurance plan requires you to designate a primary care physician, Dr. Wright can fill that role.

We offer transparent cash-pay rates, shared up front. Ask our front desk for current self-pay pricing when you schedule. You also have the right to request a Good Faith Estimate of expected charges.

Your insurance is billed first. After they process the claim, you’ll receive an Explanation of Benefits from your insurer, and a bill from our office will follow if there’s a remaining balance.

Your plan may have applied part of the charge to your deductible, copay, or coinsurance. Compare your statement with your Explanation of Benefits, and call us if something doesn’t look right.

Online through the patient portal, by phone, by mail, or in person. We accept major credit cards, debit cards, HSA/FSA cards, and checks.

Questions About Coverage? We’re Here to Help

Call us before your visit and we’ll help confirm your coverage, so you know what to expect.

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