At Five Star Family Care, we provide our patients with quality, convenient medical care. We know that requiring medical attention can be stressful, so we provide our patients with a comfortable and informative experience to ease patients’ worries. Read our most asked questions below:

How much does an family care visit cost if I don’t have insurance?

Rates are affordable for those without insurance. This includes simple in-house lab tests. Additional procedures such as stitches, incision & draining, foreign body removal, x-rays, IV fluids or medications, or certain immunizations will be an additional charge to the base visit. Full payment using either cash or a credit card is required at the time of service.

What is an urgent care facility fee, and does Five Star Family Care charge them?

No – Five Star Family Care never charges our patients a facility fee. A facility fee is an additional bill patients may be charged for visiting an urgent or convenient care facility that is affiliated with a hospital. This is a bill that is issued to the patient in addition to the doctor’s bill for services provided. In short, you receive two bills for one visit. It is important to know that some hospital centers charge this fee, while others do not. Unlike some urgent or convenient care centers, patients at Five Star Family Care only receive one bill – we never charge our patients with an additional facility fee, which can add hundreds of dollars to a visit if a patient has an un-met deductible.

Do I need an appointment to visit Five Star Family Care?

At Five Star Family Care you never need an appointment. We are open 7 days a week and holidays, except Christmas Day.

Does Five Star Family Care have short wait times for patients?

Patients of Five Star Family Care are typically seen within 10 minutes of registration, and are treated and on their way within one hour. Click on our individual location pages for the most up-to-date wait times.

Can I get an x-ray at Five Star Family Care?

Yes – all of Five Star Family Care’s locations have state-of-the-art x-ray equipment on-site. After their visit, patients are welcome to review x-ray images with their primary care physicians. Our patients will never receive an additional charge from the Radiologist who reads the x-ray taken on premises. The charge is included with your urgent care claim to your insurance carrier, or included in your private fee. At infrequent times, a patient will be sent for an ultrasound or CAT scan which will be done off premises. This billing will be generated by that organization.

Do I need to bring anything with me when I visit Five Star Family Care?

When visiting Five Star Urgent Care, please bring your health insurance card, driver’s license and a list of your current medications. We will make a copy of this information for our files when you arrive. If you have secondary insurance, please bring it with you and we will submit it on your behalf. If you are in your deductible provision of your insurance policy, you will be asked for a guarantee of future payment after insurance pays the invoice. This is done by obtaining your credit card information and permission to bill the balance due after your insurance pays. No financial hold is placed on the card. This provides a stream-lined process which helps Five Star Urgent care keep their costs affordable for all.

How do I know when I should go to an emergency room versus an urgent care or walk-in clinic?

Five Star Family Care is equipped to treat an array of non-life threatening medical needs, including sprains, fractures, burns, lacerations, rashes, bronchitis, and pneumonia. We have x-rays on-site to allow us to better evaluate your injury. We also have on-site, point-of-care lab testing. This allows us to perform a variety of tests, from a urinalysis for symptoms of a urinary tract infection (UTI) to a rapid strep test. You should go to a hospital emergency room if you are experiencing a serious medical condition or symptom (including severe pain) caused by an injury or sickness, which arises suddenly and requires immediate care and treatment to avoid permanent disability or death. If you have a true emergency, call 911 immediately. Signs of a true emergency include, but are not limited to:

  • Signs of a heart attack that last two minutes or longer, including chest pain
  • Signs of stroke, like sudden onset of numbness in any extremity
  • Severe shortness of breath
  • Heavy bleeding or bleeding that won’t stop after 10 minutes of direct pressure
  • Poisoning
  • Complicated fractures (i.e. bone through the skin)
  • Major injuries, such as head injury
  • Unexplained drowsiness or disorientation
  • Loss of consciousness
  • Loss of hearing
  • Coughing up or vomiting blood
  • High fever (104° or higher for a child; any fever for an infant less than 6 months old)
  • Suicidal or homicidal feelings
  • Seizures

Does Five Star Family Care accept Medicaid for patient visits?

Five Star Family Care does accept some Medicaid “Managed Care Options” but we do not accept Straight New York State Medicaid or Fidelis. Managed Medicaid plans accepted by Five Star Family Care facilities include: Independent Health Fidelis YourCare

Does Five Star Family Care accept Medicare coverage?

As a participating member of Medicare, we accept all Medicare Advantage (replacement) plans. We are participating with the following carriers. If your carrier is not listed, the out of network benefit may require more patient financial responsibility. Please call your insurance carrier to determine your benefit if your carrier is not listed below. Medicare Advantage Plan Participation Blue Cross/Blue Shield

What insurance providers are in-network with Five Star Family Care?

If your carrier is not listed below, we will still treat you! Your claim will be paid as an out-of-network provider and may require patient financial responsibility associated with the visit. Please call your insurance company member services (the phone number should be on the back of your insurance card) or refer to your policy benefit for out-of-network treatment. Participating Insurance Carriers Independent Health Pomco Medicare Blue Cross/Blue Shield Univera Fidelis YourCare COMING SOON! GHI/Emblem Health

Does Five Star offer pre-employment or sports physicals?

Yes – Five Star Family Care offers pre-employment, school and sports physicals.

Can I receive prescription refills for my chronic pain?

No – patients cannot get prescription refills for chronic medical pain from Five Star Family Care. Chronic pain management is a serious medical condition that must be followed carefully by the patient’s pain management specialist. We MAY provide a short term (24-72) hour prescription for acute pain. We do not treat chronic pain, therefore will not be providing any chronic pain prescriptions or refills on existing prescriptions you may have from other health care providers. We would be happy to refer you to pain management if needed. All of our controlled substance prescriptions such as narcotics are checked on NYS I-Stop. The I-Stop tracking system provides all NY state practitioners with direct, secure access to view dispensed controlled substance prescription histories for their patients.

How much does an ER visit cost if I have a high deductible plan?

Based on 2011 data from the Health Care Cost Institute, the national average cost for an ER visit was $1,381. If you have a high deductible plan and have not met your deductible, you would be responsible for those ER costs until your deductible is met. ER visits that require x-rays or stitches are typically more than $600. Patients can receive up to three different bills when visiting an ER, including: 1) a bill from the hospital 2) a bill from the ER physician group that staffs the ER, and 3) a bill from the radiologist that reads your x-ray. For non-emergent or non-life threatening injuries or illnesses, Five Star Family Care only charges patients one bill, and it is a fraction of what you would pay for the same services received at an ER. If you are experiencing life-threatening symptoms, please call 911 or visit an ER.