Health insurance providers

ByCompareMedCosts
Contact Information
Phone: 888-863-5502

Understanding your health insurance coverage is crucial before seeking care, as it directly impacts your out-of-pocket costs for medical services. Primary care services at Aurora Health Care may be covered by a wide range of insurance providers, but coverage details, co-pays, and deductibles can vary depending on your specific plan and network status. Key cost components typically include the provider’s fee, any facility charges, and additional services such as lab tests or preventive screenings. To avoid unexpected expenses, always confirm that Aurora Health Care is in-network for your plan and request an itemized estimate of fees prior to your visit.

Cost Breakdown

  • Provider Fee: The standard charge for the primary care visit itself.
  • Facility Charges: Additional fees may apply if your visit occurs in a hospital-based clinic or outpatient facility.
  • Diagnostic Services: Costs for lab work, imaging, or other diagnostic tests may be billed separately.
  • Preventive Services: Some preventive screenings may be included at no cost under many insurance plans, but confirm with your insurer.

Associated Costs

  • Follow-up visits for ongoing management of chronic conditions.
  • Specialist referrals, which may require additional co-pays or prior authorization.
  • Prescription medications, which vary based on formulary and pharmacy network.

Insurance & Payment Advice

  • Always verify network participation with your insurance provider before scheduling an appointment.
  • Ask for a detailed, itemized estimate of costs prior to your visit.
  • Review your plan’s deductible, co-insurance, and co-pay responsibilities.
  • Bring your insurance card and a valid photo ID to every appointment.
  • If uninsured or underinsured, inquire about financial assistance or payment plans.

Frequently Asked Questions

  • Which insurance providers typically cover Aurora Health Care primary care services? Major insurers such as Aetna, Anthem, Blue Cross Blue Shield, Cigna, Humana, United HealthCare, and many others generally cover Aurora Health Care primary care services, but coverage may vary by plan.
  • How can I find out if Aurora Health Care is in-network for my insurance? Contact your insurance provider directly or check their online directory to confirm if Aurora Health Care is considered in-network under your benefit plan.
  • What costs should I expect for a primary care visit? You may be responsible for a co-pay, co-insurance, and any applicable deductible, as well as charges for additional services like labs or screenings.
  • Can I get an itemized estimate before my appointment? Yes, you can request a detailed estimate of expected charges from Aurora Health Care before your visit for better financial planning.
  • Are preventive care services always free? Many insurance plans cover basic preventive care at no cost to you, but confirm with your insurer as some services may not be included.
  • What if my insurance plan is not listed as a typical provider? You should contact both your insurer and Aurora Health Care to verify coverage and network status before your appointment.
  • What if I need care but don’t have insurance? Aurora Health Care may offer financial assistance programs or payment plans for uninsured or underinsured patients. Ask about these options before your visit.
  • Will I receive separate bills for lab tests or imaging? It is possible to receive separate bills for diagnostic services such as lab work or imaging, as these may be processed by different departments or providers.
  • How do I avoid surprise billing? Confirm in-network status, request itemized cost estimates, and clarify what services are included in your visit to minimize unexpected charges.
  • What should I bring to my appointment? Always bring your current insurance card, a photo ID, and a list of any medications or medical conditions.

Before you visit us for care, it’s important to understand the health insurance coverage you have and how much you’ll pay – you may be able to save money by seeing an in-network provider, for example.

Check with your insurance provider to make sure your benefit plan includes Aurora Health Care, or call your local Aurora clinic at 888-863-5502. We’ll help answer questions about insurance.

These companies typically cover Aurora Health Care primary care services. This list was revised on April 14, 2023.

  • Aetna
  • Anthem (Elevance Health)
  • Anthem Blue Priority
  • Anthem Medicaid
  • Arise Health Plan
  • Aspirus
  • Aurora Employee Plan (UMR)
  • BayCare Clinic Employee Plan
  • Blue Cross Blue Shield of IL PPO
  • Chorus Community Health Plan – Medicaid (CCHP)
  • Cigna Healthcare
  • Centivo** In Network for Wi-1 plan only
  • Cofinity
  • Common Ground Healthcare
  • Community Care Inc (CCI)
  • Devoted Health***
  • Everpointe Network
  • First Health Network/Coventry Health Care
  • Fond du Lac Area Businesses On Health (FABOH)
  • Health Finest Network (HFN)
  • Health Management Network (HMN)
  • Health Payment Systems (HPS)
  • HealthEOS*
  • HealthPartners – Robin Product
  • HealthSmart
  • HSTechnology
  • Humana
  • Independent Care (iCARE)
  • Managed Health Services (MHS)
  • Molina Healthcare
  • PHCS*
  • Prime Health Services
  • Quartz
  • Three Rivers Provider Network (TRPN)
  • Tricare
  • Trilogy
  • UHC Community Plan
  • United HealthCare (UHC)
  • Wisconsin Physicians Service (WPS)

*Limited Benefits or Specific coverage plans including, but not limited to, Physician only, Ancillary only, Hospital only, sharing plans, and short-term health plans are not accepted.

**Centivo: In Network for Wi-1 plan only, Aurora is Out of Network for Wi2 & Wi3.

*** Devoted Health is only in-network regionally on the south end of WI (3 hospital & 1 surgery center).