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Pivotal Health House Calls are Covered by Most Insurance Plans

Pivotal Health is covered by many major health insurance plans

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Use Health Insurance or Self-Pay

Pivotal Health’s convenient, high-quality house call visits are also affordable. Use your health insurance plan or take advantage of our low self-pay option.

Use insurance:
When using health insurance, our house call visits cost the same co-pay/deductible as going to an urgent care clinic or your doctor’s office. Following your visit, a claim will be submitted to your health plan. Your total out-of-pocket cost will vary based on your specific insurance plan.

Use self-pay:
Our typical self-pay house call charge is $179. It includes:

  • A comprehensive medical or mental health assessment in the comfort of your home.
  • Any indicated point-of-care tests and basic labs, like COVID or influenza tests.
  • Follow-up communication (text or phone call) with our provider.

For billing questions, contact us directly at 888-688-4746.

Manage Billing In Our Mobile App

The Pivotal Health mobile app was designed to make billing simple and transparent. Within the app, patients can:

  • Enter your health insurance plan information for future visits.
  • See your estimated out-of-pocket total cost with your health insurance plan.
  • Compare your cost with insurance to our low self-pay charge and pay for the option that works best for you.
  • Pay your out-of-pocket total right in the app with a credit card, flexible spending card, or health savings account card.

Ready to try convenient in-home care?

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Our mission is to deliver high-quality healthcare to consumers when and where they need it. Pivotal Health’s passionate and seasoned team has developed a scalable, technology-enabled platform to make healthcare more consumer friendly and easier to navigate.

Proudly delivering urgent and primary care services to patients across Wisconsin. More locations opening soon.

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