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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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