How PlushCare works: board-certified primary care physicians and licensed therapists

If it’s been less than 15 minutes since the start of your appointment time, first try quitting the app and re-joining.

If that does not work and your doctor is still not on the call, please call us immediately at 1(855) 913-0255. We can contact the doctor to see if they are running late or reschedule your appointment with no additional charges.

We can often diagnose, recommend treatment, and prescribe medication for ongoing (chronic), urgent care/non-emergency medical issues and chronic conditions, including ongoing (chronic) PrEP, high blood pressure, erectile dysfunction, birth control, asthma, hypothyroidism, anxiety, diabetes (type II controlled or un-controlled), depression, high cholesterol, seizures, migraine, hair loss, acne, back pain, and more.

Urgent care/non-emergency conditions that we treat include allergies, gout, migraine, PEP, sinus infection, UTI, bronchitis, flu, cold, strep and sore throat, yeast infection, male urethritis, bacterial vaginosis, rash, cellulitis, dental infection, diarrhea, pink eye, ear pain, swimmer's ear (external ear infection), nausea, headache, pneumonia, tonsillitis, vertigo, and more.

Please note that not all issues can be treated best by telehealth, and your doctor may let you know that an in-person visit is necessary instead. Cases that require in-person examination by a physician will entitle the patient to a refund of any charge for the appointment.

If you have a membership with PlushCare, you can share your membership with up to 5 adult family members at no cost to the family members.

Each adult family member will get a private account with access to all the same features—including same-day bookings and prescriptions and unlimited in-app messaging—so they can get complete, convenient care whenever needed. Family members pay no extra charges for membership as long as the principal account holder remains a member of PlushCare. Each patient is still responsible for copays and doctor’s visit fees.

To add a family member,  open the PlushCare App, log into your account, and select ‘add a family member.’ Type in their name and email, and they will receive an email to set up their account.

Each adult account is independent and private, so it will not be visible to anyone other than the account owner. Children’s accounts are linked to an adult account, so the child’s information will be visible to the managing adult.

• Appointment cancellation: Patients can cancel their appointment for free 2 or more hours before the appointment is set to begin.  

  • Patients who need to cancel their appointment within 2 hours of the appointment start time will be charged a $75 late cancellation fee and will not be charged the appointment price quoted at booking.

• Appointment rescheduling: Patients can reschedule their appointment for free 2 or more hours before the appointment is set to begin. 

  • Patients who need to reschedule their appointment within 2 hours of the appointment start time will be charged a $75 late rescheduling fee.

• No-shows: Patients who cannot attend their appointment must cancel or reschedule or contact PlushCare support to cancel or reschedule the appointment. If the patient does not show up for their appointment, it is considered a no-show, and the patient will be charged a $75 no-show fee. The patient will not be charged with the appointment price quoted at booking. 

• EAP Program: Patients who are eligible for EAP visits, who do not cancel their appointment within two hours of the scheduled visit time, or who do not show up for their appointment will lose one 1 EAP visit from their visit counts.

• PlushCare cancellation or rescheduling: In some cases, PlushCare may need to cancel or reschedule an appointment to ensure patients get the appropriate care they need. When PlushCare cancels or reschedules the appointment, the patient will not be charged a change fee.

• Paying without insurance:

  You do not have to use health insurance to pay for a PlushCare visit. The non-insurance prices for PlushCare appointments are below:

  • $129 for each visit + our membership fee

  Paying with insurance: 

  If you have health insurance from a payer we accept, we will charge you an estimated visit price at the time of booking.
  
  After your visit, we will file a claim with your insurance. Typically we receive a response within 4 weeks and at that point, we will let you know whether you owe more or less. You will also receive an EOB (Explanation of Benefits) from your insurance indicating the same information.
  
  In the case you owe more because your insurance didn’t cover the full cost of the visit, we will send you a bill to the email address you have on file.
  
  In the case where you owe less, we will process a refund to the card on file and send a receipt to your email.
  
  In the case where you paid the exact amount upfront, we will not reach out to you.
  
  Patients with an in-network insurance plan can pay as low as their regular PCP office visit copay.  See more: Does PlushCare work with my health insurance?

   

  Credit Cards/HSA/FSA

  You can pay for your visits using a credit card, debit card, or your HSA/FSA funds. If you need an itemized receipt for your visit to submit for reimbursement, simply email us at info@plushcare.com.
  
  You can also use FSA and HSA distributions to cover prescriptions from a PlushCare doctor and lab costs if referred by a PlushCare doctor.
  
  Please note that HSA/FSA funds cannot be used to cover the PlushCare membership fee, and you will need to keep a credit or debit card on file to keep your account in good standing.
  
  Read more on our blog about HSA vs. FSA.
  
  Have Questions? If you have any further billing questions please feel free to contact us at (855) 559-2285.

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If you refer someone to PlushCare via your referral link, they book an appointment, and finish their 3 month free trial then you will receive one month free of membership.

Terms and Conditions:

To receive your one free month of membership, the referral must:

• Never created an account with PlushCare

• Pay for their first month of membership (month 4)

If you have any other questions, please submit a request to the Care Team.