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Doctor Visits

Regular doctor visits are the foundation of good health. Our plans make it easy and affordable to see your primary care physician for checkups, illness, and ongoing health management.

Doctor Visits

The Foundation of Good Health

Studies consistently show that people with a regular primary care physician have better health outcomes, lower healthcare costs over time, and higher satisfaction with their care. Your primary care doctor serves as your healthcare quarterback—coordinating your care, knowing your medical history, and helping you navigate the healthcare system.

Without insurance, a simple doctor's visit can cost $150-$300 or more, leading many Americans to skip important checkups and wait until small problems become big ones. Our plans make regular doctor visits affordable with low copays, so you never have to choose between your health and your budget.

From annual wellness exams to sick visits when you're feeling under the weather, comprehensive doctor visit coverage ensures you can access the care you need, when you need it.

Doctor Visit Benefits

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Annual Wellness Exams

Yearly comprehensive checkups to assess your overall health, update vaccinations, and screen for potential health issues before they become serious.

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Sick Visits

See your doctor when you're ill with infections, flu, cold symptoms, or other acute conditions that need medical attention and treatment.

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Health Screenings

Blood pressure monitoring, cholesterol panels, diabetes screening, cancer screenings, and other preventive tests to catch problems early.

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Chronic Care Management

Ongoing care for chronic conditions like diabetes, hypertension, asthma, heart disease, and other conditions requiring regular monitoring.

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Prescriptions & Referrals

Get prescriptions for medications you need and referrals to specialists when your condition requires more specialized care.

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Telehealth Options

Virtual doctor visits from the comfort of your home for minor illnesses, follow-ups, and consultations when in-person visits aren't necessary.

Types of Doctor Visits Covered

Preventive Care Visits

Annual physicals, well-woman exams, immunizations, health risk assessments, and counseling for diet, exercise, tobacco cessation, and other lifestyle factors.

Acute Care Visits

Same-day or next-day appointments for sudden illness, infections, injuries, or new symptoms that need prompt attention but aren't emergencies.

Follow-Up Visits

Appointments to review test results, adjust medications, monitor treatment progress, or follow up after hospitalization or specialist visits.

Chronic Disease Management

Regular visits to manage ongoing conditions—checking blood sugar for diabetics, adjusting blood pressure medications, monitoring heart conditions, and more.

Choosing the Right Primary Care Doctor

Your primary care physician (PCP) is your partner in health. Here's what to consider when choosing a doctor:

Types of Primary Care Doctors

  • Family Medicine: Treats patients of all ages, from newborns to seniors, making them ideal for families
  • Internal Medicine: Specializes in adult care with expertise in complex medical conditions
  • Pediatrics: Focuses exclusively on children from birth through adolescence
  • Geriatrics: Specializes in healthcare for older adults and age-related conditions

What to Look For

  • In-network status with your insurance plan
  • Convenient location and office hours
  • Hospital affiliations if you have a preference
  • Communication style that works for you
  • Availability for same-day sick visits
  • Telehealth options for virtual visits

Frequently Asked Questions

How much does a doctor visit cost with insurance?

Most plans have a copay for doctor visits, typically ranging from $20-$50 for primary care. Preventive care visits are often covered at 100% with no copay under the Affordable Care Act.

Do I need a referral to see a specialist?

It depends on your plan type. PPO plans typically don't require referrals, while HMO plans usually do. Check your specific plan details or call us for clarification.

How often should I see my doctor?

Most healthy adults should have an annual wellness exam. If you have chronic conditions, your doctor may recommend more frequent visits—every 3-6 months for conditions like diabetes or heart disease.

Can I change my primary care doctor?

Yes, you can typically change your PCP at any time by selecting a new in-network doctor. Some plans may require you to make the change through their member portal or customer service.

Are telehealth visits covered the same as in-person visits?

Most plans now cover telehealth visits, often at the same copay as in-person visits or sometimes even lower. Telehealth is a convenient option for minor illnesses, follow-ups, and medication refills.

Stay Healthy with Regular Care

Don't skip your doctor visits because of cost. Get coverage that makes regular healthcare affordable so you can stay on top of your health.

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