Important Notice: Changes in coverage for physical examinations for both commercial and government insurance subscribers when performed at Patient First
This may include:
For example, Cigna Healthcare no longer covers the above physicals effective August 17, 2024.
Patient First will notify you during registration if your insurance does not cover the cost of a physical exam at Patient First. You may also wish to check with your insurer before your visit to determine whether a physical exam is covered when it is performed at Patient First.
If your insurance does not cover the cost of a physical exam when it is performed by a Patient First physician or advanced practice provider and you want to have your exam at Patient First, you will be responsible for payment of all charges. Your exam may be covered when performed by another health care provider.
Affected patients with commercial insurance coverage have two options:
Option 1: Self-Pay Program You may pay out of pocket for a physical exam at Patient First’s discounted self-pay program rates. (Not available to patients with government health insurance, such as Medicare, Medicare Advantage, Medicaid, or Tricare.)
Discounted Rates: Sports and camp physicals: $55 School physicals: $55 (in MD, NJ, PA) | $96 (in VA) All other physicals: $145
Additional Services: If your provider recommends extra services, you may be responsible for the cost of those as well.
Option 2: Check with Your Insurer Contact Your Insurer: Call the number on your insurance card to see if your exam is covered and/or contracted to be performed by another provider.
(Medicare, Medicare Advantage, Medicaid, or Tricare.)
If your insurance does not cover the cost of a physical exam when it is performed at Patient First, it may be covered when performed by another health care provider. Patient First is not able to provide non-covered services on self-pay basis to patients with government insurance. Contact Your Insurer: Call the number on your insurance card to see if your exam is covered when performed by another provider.
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