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MEDICARE SECTION
MEDICARE SECTION – WellNow Urgent Care is Out-Of-Network for BCBS - There Are Still Options!
I wanted to share some information about WellNow Urgent Care as they are now out-of-network with Excellus BCBS (in 2024), not Univera.
There have been many questions about how Excellus BCBS Medicare members will be impacted with increased cost sharing due to being
out-of-network
I have some good news to share that will hopefully help ease the worry of this outcome.
Excellus BCBS plans have the same copay for in-network vs. out-of-network for urgent care so there would be no cost-share impact to the member if the urgent care (provider) sees them.
WellNow does participates with Medicare, so in that case there would be no balance billing for the difference, another words, the provider has to accept the Medicare fee schedule.
As long as any WellNow claims are billed as an urgent care visit the claim will process at the same copay whether in or out-of-network facility.
When it comes to billing, Excellus BCBS has no say in how the provider’s bill. Excellus BCBS is also anticipating WellNow will require Excellus members to submit their own claims, so if you have questions on billing please reach out to the provider.
I hope this information finds you well and is helpful moving forward.
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