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Cost/Health Plans

Cost and Accepted Health Plans

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At Sutter Express Care, most health plans are accepted
The price for most visits is a flat fee of $63. Sutter Express Care accepts cash and major credit cards (MasterCard and Visa).

You do not need to have health insurance to use Sutter Express Care, but if you are a member of one of the following accepted health plans (see below), the price you pay may be less than the flat fee.


Health plan co-pays

PPO Plans: If you have one of the PPO plans listed below, your co-payment at Sutter Express Care will be the same as a visit to your doctor’s office.

HMO Plans: If you have one of the HMO plans listed below AND your primary care physician is part of Sutter Medical Group, Sutter West Medical Group, or Sutter Independent Physicians, your co-payment at Sutter Express Care will be the same as a visit to your doctor’s office.

Point of Service Plans: Your co-payment at Sutter Express Care may be the same as a visit to your doctor’s office if you have one of the indicated Point of Service Plans listed below.

Medicare: If you are a Medicare beneficiary, the full cost of your care is covered for most services. Please check with the nurse practitioner for screening services which are not covered.

Medicare Private Fee for Service Plan: If you have one of the Medicare Private Fee for Service plans listed below, your co-payment at Sutter Express Care will be the same as a visit to your doctor’s office.

MediCal: Sutter Express Care is not a contracted provider for MediCal. If you’d like to pay with cash, the price for most visits is a flat fee of $63.

Fiancial Assistance: Sutter Express Care has adopted the Sutter Medical Foundation's financial assistance program. If you think you are eligible for financial assistance, please ask the nurse practitioner for an application.
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Accepted health plans

The list below shows which health plans are accepted by Sutter Express Care. It's always a good idea to contact your health plan customer service department to verify the specifics of your plan type and coverage.

Aetna

  • Aetna Signature Authority
  • Choice POS
  • Choice POS II
  • Elect Choice
  • Health Fund
  • HMO – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • Health Fund HMO – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • Managed Care POS
  • Open Access Elect Choice
  • Open Access Managed Choice
  • Open Choice
  • National Advantage Plan
  • Quality Point of Service (QPOS)
  • Traditional Choice
  • US Access
Blue Cross of California (effective March 1, 2007)
  • Access for Infants and Mothers
  • Blue Card
  • Blue Cross Plus PPO
  • California Care HMO – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • California Care Plus HMO/POS
  • Freedom Blue
  • Healthy Families
  • Indemnity
  • Major Risk Medical Insurance Program (MRMIP)
  • Power CareAdvocate PPO
  • Power HealthFund PPO
  • Prudent Buyer PPO
  • Select PPO
  • Senior Classic Plans
  • Senior Select and Senior Select Plus
  • Senior Smart Choice, Preferred and Plus Plans
  • Smart Value
Blue Shield of California
  • Access + HMO Plan for Individuals and Families – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
Cigna

Great West
  • All Great West products
Health Net
  • ELECT POS, Group Plan
  • ELECT Open Access, Group Plan
  • ELECT Open Access, Individual Plan – PPO
  • Health Net Pearl
  • HMO, Group Plans – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • Medicare Supplement (Medi-Gap) Plans
  • OPTIONS PPO
  • PPO Plus
  • Salud HMO – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • SELECT POS, Group Plan
  • Seniority Plus HMO – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
Medicare Private Fee-for-Service (PFFS) Plans
  • Advantra Freedom
  • Aetna Medicare Open
  • Blue Cross SmartValue Class
  • Blue Cross SmartValue Enhanced
  • Blue Cross SmartValue Plus
  • Health Net Pearl
  • Humana
  • SecureHorizons MedicareDirect
  • Sierra Optima
  • Sierra Optima Plus
  • Today’s Option Premier
  • Today’s Option Premier Plus
  • Today’s Option Value
  • Today’s Option Value Plus
  • WellCare Concert
  • WellCare Duet
  • WellCare Freedom
  • WellCare Summit
PacifiCare
  • Medicare Supplement (Medi-Gap) Plans
  • Secure Horizons – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • Signature Independence
  • Signature Freedom
  • Signature Options PPO
  • Signature POS
  • Signature Value – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • Signature Value Advantage – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • Signature Value Access
  • Signature Value Select Hospital HMO – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
Sutter Select
  • EPO
  • PPO

United Healthcare
  • Definity Health
  • United Healthcare Choice
  • United Healthcare Choice Plus
  • United EPO – if your primary care physician is part of Sutter Medical Group, Sutter West Medical Group or Sutter Independent Physicians
  • United Healthcare Options PPO
  • United Healthcare Select and Select Plus
  • United Heathcare POS
  • United Indemnity Plan
  • United Managed Indemnity Plan

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