Find a doctor that accepts UMR, online

Yes, Circle Medical takes most health insurance plans and is in network with them. Check your insurance to confirm your plan is accepted and get a free estimate of your out-of-pocket cost. When you book, we'll help you find a provider who is in network with your plan. We can't accept Medicaid or Medi-Cal, even for self-pay.

The fastest way to know if your Circle Medical provider is in network with your plan is to check your insurance before you book. You'll see whether your plan is accepted and a free estimate of your out-of-pocket cost, and when you book we only show you providers who are in network with your plan.

To confirm directly with your insurance, call the Member Services number on the back of your card and give them our practice details, including the NPI and Tax ID for the Circle Medical practice in your state, which you can find on our insurance page. While our practice may be in network with your insurance, not every provider is in network with every plan, so ask about the specific provider you want to book with. Some plans also require you to select a Circle Medical provider as your primary care provider for appointments to be covered in network.

With insurance, you'll pay whatever your plan sets for a primary care appointment, the same as at an in-person doctor's office: a copay (a fixed amount per appointment), coinsurance (a percentage of the allowed amount), or the full allowed amount if you haven't met your deductible yet. Over the last 6 months, patients with an accepted plan paid an average of $35 out of pocket per appointment. Check your insurance for a free estimate of your out-of-pocket cost, or see your estimated cost when you book. For a definite amount, call your insurance.

Yes, you can still see a Circle Medical provider if they're out of network with your plan by booking at the self-pay price, which starts at $120 per appointment, and you'll see the exact price when you book. If your plan includes out-of-network benefits, message support after your appointment to request an itemized receipt (aka a superbill), and you can submit it to your insurance for possible reimbursement. Whether and how much your plan reimburses depends on your out-of-network deductible and coinsurance. The one exception is Medicaid and Medi-Cal, which we can't accept even for self-pay.

Yes, Circle Medical accepts Medicare in most states where we’re open. When you book, we only show you providers who are in network with Medicare. We can't see patients who have both Medicare and Medicaid. See our Medicare and Medicaid guide for the list of states where we accept Medicare.

Yes, Circle Medical accepts TRICARE in select states. When you book, we only show you providers who are in network with TRICARE. If you don’t see any available providers you may continue care at our self-pay rates.

No, Circle Medical doesn't accept Medicaid or Medi-Cal. We're not contracted with any state Medicaid program, including Medi-Cal, so we can't see patients who have Medicaid coverage, even if they'd prefer to self-pay or have other insurance. This includes Medicaid managed-care plans run by commercial insurance like UMR.

If you choose to self-pay, Circle Medical appointments start at $120, and you'll see the exact price for your appointment when you book. Initial ADHD intake appointments are priced differently; see the ADHD page for the breakdown.

If your insurance changes or you switch plans, update your insurance in the Circle Medical app or web portal before your next appointment, and remove the old plan so the right one is on file. The insurance on your account applies to all of your upcoming appointments, so if your new plan isn't in network with the provider you booked, you may need to rebook with a provider who is. Check your insurance to confirm your new plan is accepted and see your estimated cost.