Kaweah Delta negotiates new Urgent Care billing arrangement with Anthem Blue Cross
VISALIA – Taking a cue from the community, Kaweah Delta has negotiated
a new arrangement with Anthem Blue Cross that will alleviate the majority
of billing frustrations people experienced after visiting its Urgent Care Centers.
Effective Nov. 1, under this new arrangement, people who have Anthem Blue
Cross through independent policies or through employers such as school
districts, cities, the County of Tulare, among others, can visit Kaweah
Delta Urgent Care Centers, expect to pay their typical co-pay amount (for
an urgent care visit), and receive a bill that is reflective of being
seen at any freestanding urgent care center.
“We heard our community’s frustration with this contract loud
and clear. We listened and have come up with a solution that we know those
covered by Anthem Blue Cross will be happy with, especially as we enter
cold and flu season,” said Gary Herbst, Chief Executive Officer
of Kaweah Delta.
Previously, Anthem Blue Cross treated Kaweah Delta Urgent Care Centers
on Court Street and at Demaree and Flagstaff as if they were an extension
of Kaweah Delta’s Emergency Department, rather than as urgent care
centers. This left patients of Anthem Blue Cross with bills that were
reflective of having received emergency care rather than urgent care services.
The Kaweah Delta clinics and urgent care centers (other than Kaweah Delta
Medical Foundation) do operate on the Hospital’s license and, as
such, they are subject to higher standards of construction, are required
to be staffed differently, and are surveyed and certified by The Joint
Commission, an accrediting body for healthcare organizations. As such,
they cost a lot more to build and operate than independent, freestanding
clinics and urgent care centers. “While this new arrangement with
Anthem Blue Cross will reduce our urgent care center revenue, Kaweah Delta
is committed to making healthcare affordable and available to all patients,
so this was the right decision to make,” Herbst said.
Kaweah Delta Urgent Care Centers are open seven-days-a-week to care for
patients when their doctor is unavailable. Care is available for everything
from cold/flu to broken bones, cuts, burns and more. Kaweah Delta Urgent
Care Centers offer labs and radiology services, but do not offer ultrasonography
(US), computed tomography (CT), magnetic resonance imaging (MRI) or positron
emission tomography (PET). Patients can also check wait times online at
www.kaweahdelta.org and get in line, online, to avoid sitting in the waiting room.
Kaweah Delta Urgent Care
1633 S. Court St.
Open: Daily, 8 a.m. to 10 p.m.
Kaweah Delta Urgent Care
3600 W. Flagstaff Ave.
Open: Daily, 8 a.m. to 8 p.m.
Flu shots are available at Kaweah Delta Urgent Care in Visalia for patients
3 years and older. Cost: $30. When people experience cold and flu symptoms,
Kaweah Delta urges the public to seek care from their personal physicians
for conditions that are not life-threatening or will not require hospitalization.
When that is not possible or the condition is urgent, but not life-threatening,
people are urged to visit an urgent care facility or a walk-in clinic
instead of the emergency department. The following conditions/injuries
(not an exhaustive list) can be treated at Kaweah Delta Urgent Care, Sequoia
Prompt Care, or Visalia Medical Clinic’s QuickCare:
Fever or flu symptoms (cold, sore throat, cough)
- Sprains, broken bones, fractures
- Mild asthma/breathing difficulties
- Abdominal pain
- Cuts (minimal blood, stitches or staples)
- Ear infections
- Vomiting, diarrhea or dehydration
- Animal bites
- Urinary tract infections
- Burns or chemical exposure
- Infected wounds
The following conditions/injuries should be treated at Kaweah Delta’s
- Heart attacks/strokes
- Uncontrollable severe bleeding
- Sudden or severe pain
- Coughing blood or vomiting blood
- Severe breathing difficulties
- Sudden dizziness, weakness or vision changes
- Severe vomiting or diarrhea
- Changes in mental status/confusion
- Open bone fractures
If you are experiencing any of these conditions, please call 911 immediately.