What To Expect at AFC Urgent Care & Walk-In Clinic for Family Practice Near Waukesha, WI
What To Expect When You Visit Us
Our goal is to see you quickly and to treat your injury or illness with the utmost quality and efficiency.
You don’t need to be a regular patient of ours and you don’t need an appointment. When you aren’t feeling well, simply come to our office during our normal business hours. When you come see us, please bring the following information:
- Insurance Card – if you have insurance (insurance isn’t necessary)
- Photo Identification
- Co-Pay (we accept cash, check or credit card)
Common Patient Payments Required by Insurance Plans
Frequently Asked Questions Regarding Insurance & Payments
- Check In Upon arrival, you will be asked to complete our short registration form (if you haven’t seen us before). To speed up the process, you can print and complete a registration form right now.
- See the Doctor After check-in, you will be brought into our “triage” room where we will take your vitals and assess your medical complaint. You will then be seen by our doctor who will treat your illness or injury.
- Aftercare Once treated, any care supplies or medication will be prescribed and you will receive complete aftercare instructions.
About Health Insurance
If you have questions about our payment collection process, please ask one of our insurance specialists at the registration desk.
AFC Urgent Care Waukesha is proud to provide affordable health care services and strives to keep costs low. The following information is provided to help everyone have a better understanding of the costs and payments that may expected at the time of your visit.
A health insurance policy is a contract between an insurance company and an individual or their sponsor (e.g. an employer). In exchange for a monthly premium, the insurance company will cover some, or all, of that individual’s medical expenses. Insurance companies often require cost-sharing and the patient’s responsibility may take several forms, such as co-pay, deductible, coinsurance, etc. AFC Urgent Care is required by contract to adhere to the agreements made between the insurance carrier and the plan sponsor or employer.
- Co-Pay The amount that the insured must pay out-of-pocket at the time of service, regardless of any other deductible or co-insurance requirements. When a patient has a co-pay, the amount is due each time the patient presents for services.
- Deductible The amount that the insured must pay out-of-pocket before the health insurer pays its share. If a patient has a $500 deductible per year, then the patient will be responsible to pay the first $500 in healthcare costs (excluding co-pay) before the insurer will commence payment. High deductible plans (often >$2,000) are often utilized to keep monthly insurance premiums low. Sometimes deductibles are applied to the entire visit, and sometimes deductibles are only required for certain parts of the visit such as procedures, labs, injectable medications or imaging studies.
- Co-Insurance The portion of a visit that is the responsibility of the patient. Co-insurance may be required whether or not there is a co-pay and may or may not be dependent on whether a deductible amount has been fully satisfied. Sometimes co-insurances are applied globally, to the entire visit and sometimes co-insurances are only imposed on certain parts of the visit such as procedures, labs or imaging studies.
- Post Visit Billing While we attempt to verify and collect all necessary patient payments at the time of service, we do not always have complete knowledge of your insurance plan requirements. After your insurance company reviews and pays their portion of the visit, it is possible that you may be billed for a remaining balance owed.
- How much will today’s visit cost? The cost of your visit will be determined by the specifics of your insurance plan. We will verify the specifics of your insurance plan to determine the portion for which you may be responsible. Costs are dependent on the care you receive today. Though we can’t confirm the total charge until your visit is complete, we can provide general information about what will be required once your insurance is verified.
- What do you mean by verifying insurance? We use a variety of tools provided by insurance companies (web sites and telephone systems) to access information specific to your plan and your individual requirements. We verify that your insurance is active, and confirm which portions of your visit require a payment at the time of service and/or which will be covered and paid by the insurance company.
- Why do I have to pay today? It is usual and customary that patients provide payment for the portion of the services for which they are responsible at the time of service. Our practice adheres to this common practice to minimize costly billing services that increase the cost of care. We strive to keep patient costs as low as possible.
- What forms of payment are accepted? We accept cash, checks and major credit cards including Visa, MasterCard, Discover and American Express.
- Why do I have to pay my outstanding balance? An outstanding balance is the result of a missed payment from a previous visit. Practice policy requires patient balances for prior visits to be settled before treating a new condition.
- Why do I have to pay a co-pay? Your co-pay is determined by the insurance plan that your employer selected. When co-pay is part of the plan, the specific amount is required to be paid for each visit.
- What is a deductible? A deductible is the amount that the insured must pay out-of-pocket before the health insurer pays its share. We’re required by contract to collect the amount of your visit that is determined as applicable to your deductible. Once your deductible is met, it will be reflected in the verification report provided to us by your insurance carrier.
- I maxed out my deductible at another doctor’s office, why do I owe a deductible today? We understand payment can be confusing. We utilize information provided by your insurance company to determine the amount you owe. The information we obtained shows a remaining deductible balance and because of that we are required to collect. There are instances when an insurance company’s information may not be fully processed for reasons beyond our control. If it is later determined by your insurance company that you had completed your deductible responsibility in advance of this visit, we will work to promptly refund any amount due to you in the form of a mailed check to the address you have provided.
- What is co-insurance? Co-insurance is another cost-sharing mechanism designed by your insurance carrier. When a co-insurance is applicable, we are required to collect that portion of the visit at the time of service. The required co-insurance is calculated as a percentage of the remaining amount due for a visit once co-pay and deductible requirements have been met.
Formerly AFC Doctors Express