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Medical Care Choice<br />
Urgent Care<br />
(“Walk-In”) clinics<br />
Regular visits to a family<br />
practice physician<br />
Free clinic run by community<br />
organizations and medical/<br />
dental schools<br />
Nurse practitioner at your<br />
family practice office<br />
Emergency room<br />
What this choice offers<br />
These services can be used by walk-in or<br />
appointment for non-life-threatening emergencies.<br />
They can be used for drug testing and physicals<br />
for work or other activities. Many clinics now have<br />
equipment for routine X-rays and other tests for<br />
injuries. You can see a provider outside of typical<br />
business hours. For some walk-in clinics, you can<br />
go online to view the types of treatments offered.<br />
Walk-in clinics may take your insurance (though<br />
you may have a co-pay).<br />
You can form a working relationship with the<br />
physician or nurse practitioner in a family practice.<br />
This practice may take your insurance (though you<br />
may have a co-pay). Many practices are in hospitals<br />
and will send you to a clinic in the hospital for<br />
drug screening and other blood or urine tests.<br />
Free treatment, or low-cost treatment (based on<br />
your ability to pay). Some clinics offer special<br />
services that may not be included in many plans,<br />
such as vision and dental services.<br />
It is often easier to get an appointment with a<br />
nurse practitioner. The nurse practitioner can<br />
prescribe medications. You can form a working<br />
relationship with the nurse practitioner. The nurse<br />
practitioner may work in a practice that will take<br />
your insurance plan (be sure to check beforehand).<br />
The nurse practitioner may be able to take<br />
more time with you than a physician can.<br />
This service should only be used for a lifethreatening<br />
emergency or possible major injury<br />
(for example, you have been in a car accident<br />
and it is not clear if you are seriously injured).<br />
Emergency rooms may take your insurance<br />
(though you may have a co-pay).<br />
What to consider<br />
The staff may not have access to your records.<br />
You may have to fill in a lot of blanks for the staff.<br />
You may have to wait a long time, depending<br />
upon the number of people ahead of you and the<br />
severity of yours and their situations. However,<br />
many clinics now allow you to book appointments<br />
online.<br />
It may be difficult to get an appointment with the<br />
physician for times that work for you and your<br />
schedule. If you change insurance plans, check to<br />
make sure the practice still takes that insurance<br />
and you can afford any co-pay.<br />
Services and hours of operation may be limited.<br />
You may have no choice of providers. Services may<br />
be offered by less experienced providers, especially<br />
at medical/dental schools (although they are<br />
supervised by more experienced providers).<br />
The nurse practitioner is probably not available at<br />
night or on weekends. If you suddenly feel sick, you<br />
may want to go to a walk-in clinic instead. Certain<br />
ailments, like influenza virus (“the flu”) can be<br />
treated more effectively if you get medical help<br />
right away.<br />
This service can be very expensive. You may sit in a<br />
crowded waiting room a long time on busy nights.<br />
You have very little control over what services you<br />
receive (because you will sign a form agreeing to<br />
pay each health provider separately, such as the<br />
X-ray tech, doctor, lab tech—before you are given<br />
any services). Afterwards, you will probably get bills<br />
from multiple providers. Your insurance plan may<br />
have a “cap” (maximum amount) it will pay for a<br />
visit to an emergency room.<br />
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