Cost and Accepted Health Plans

At Sutter Express Care, most health plans are accepted
The price for most visits is a flat fee of $69. 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 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 $69.

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)

• 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
• 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

TriCare

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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