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?


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 in the Greater Madison, WI Area with more locations coming soon. 

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