After-Hours Care Appointments

As the COVID-19 pandemic continues to evolve, our priority at Avance Care is the health and safety of our patients. We are responding in a serious manner to all guidance from public health officials recommending social distancing. Our number-one goal is to continue to care for our patients in a safe and effective manner.

We are Open!

Telehealth Services

Avance Care now offers telehealth services for all new and established patients. Telehealth – using your home computer, smartphone, or tablet with a camera and secure internet connection – is the preferred method to conduct a visit with your Avance Care provider.

You may now see your Avance Care provider – including primary care, behavioral wellness, and nutrition providers – virtually. Telehealth is appropriate to evaluate mild and most moderate illnesses, including concerns about infection with COVID-19. A telehealth visit is also appropriate to manage ongoing health conditions like high blood pressure, diabetes, and depression.

Covered by BlueCross BlueShield NC, Medicare, Aetna, Cigna, and UnitedHealthcare. Self-pay options available. 

Book your appointment

Telehealth Visit Instructions (Mobile Device) 

Telehealth Visit Instructions (Computer)

Telehealth Visit Instructions (Step-By-Step Video)

Common Questions

I Have An Appointment

I feel healthy and have an annual physical, well child, or follow-up appointment

It is important to keep your scheduled appointment; please do not avoid necessary care during the COVID-19 outbreak. We are recommending telehealth as our preferred option to ensure we can support social distancing and slow the spread of COVID-19. Please contact your Avance location to switch your appointment to telehealth. We look forward to supporting your care and well-being.

If an in-person visit is determined necessary or preferred by you or your provider, please make sure to sanitize your hands; sanitizer is provided at the entrance as you enter the waiting area prior to checking in at the front desk. We have taken measures in our office to decrease your risk of exposure to COVID-19, including spacing our waiting room chairs to help maintain recommended social distancing. 

Annual physical exams may be scheduled at this time. For your child’s routine wellness care, please contact your local Avance office to see what special provisions are in place to provide needed vaccinations and screening tests for your child while reducing the risk of exposing your family to COVID-19.

I feel healthy and have a Medicare wellness appointment

It is important to keep your scheduled appointment; please do not avoid seeking necessary care during the COVID-19 outbreak. We are recommending a telehealth visit to our Medicare beneficiaries who are due for their subsequent Annual Wellness Visit. We are not recommending telehealth for a Welcome to Medicare physical.

Telehealth is the preferred option for your care as we follow social distancing to slow the transmission of the virus. Please contact your Avance location to switch your scheduled appointment to a telehealth visit, and please accept this recommendation if our staff reaches out to you as well to reschedule the visit as telehealth. We are here to guide you through this process if you need further assistance.  

If you or your provider determine that a visit to the office is necessary, please sanitize your hands as you come in the door and before checking in at the front desk. You may also notice we have rearranged our waiting rooms to help maintain social distancing for all our patients. If you developed cold symptoms prior to coming for your in-office visit, please call for a telehealth visit or be sure to apply a face mask when you enter the lobby.

I am not feeling well, and I may have symptoms of COVID-19

Please call ahead to switch your appointment to telehealth. You will also receive any special instructions you will need for your visit when calling. We recommend using our telehealth option, which is both convenient and safe. We also offer drive through and curbside testing when needed instead of coming into the office.  

If you do require an in-person visit, we ask that you apply a mask and sanitize your hands as soon as entering the waiting room before going to check in. We may also ask you to wait in your car or exam room to reduce the spread of COVID-19.

I am not feeling well, and I don’t have symptoms consistent with COVID-19

We recommend telehealth appointments whenever possible, and are fully equipped to provide care for many conditions. Please contact your Avance location to switch your appointment to telehealth.

If you need to be seen in-person, please know that we are putting all measures in place to slow the spread of COVID-19. Some of these measures include: spacing our waiting room chairs to follow social distancing recommendations, and having patients wait in their car or exam rooms when appropriate. Please always remember to use proper hand washing and sanitizing, as well as social distancing, for your safety and the safety of those around you.

I Need to Make an Appointment

I am feeling healthy and need to make an appointment for annual physical, well child or follow-up care

We support continuing necessary care in the safest possible way. We are recommending telehealth as our preferred option to ensure we can support social distancing and slow the spread of COVID-19. Please contact your Avance location to make a telehealth appointment. We look forward to supporting your continued, necessary care and well-being.

If an in-person visit is determined necessary or preferred from you or your provider, please make sure to sanitize your hands as you enter the waiting area prior to checking in at the front desk. We have taken the extra steps of spacing our waiting room chairs to help maintain proper social distancing. We are recommending a telehealth visit to our Medicare beneficiaries who are due for their subsequent Annual Wellness Visit. We are not recommending telehealth for a Welcome to Medicare physical.

I feel healthy and want to make an appointment as a new patient

We will continue to offer care to new patients and look forward to supporting your health needs. Telehealth is the preferred option for your care to promote social distancing and slow the transmission of the virus. Please contact your Avance location to make a new patient appointment or click here to book online.  If we recommend that an office visit is necessary, please sanitize your hands as you come in the door and before checking in at the front desk. We have rearranged our waiting rooms to help maintain social distancing for all our patients.

If you developed cold symptoms prior to coming for your in-office visit, please call for a telehealth visit (preferred) or be sure to apply a face mask when you enter the lobby.

I am not feeling well, and need to make an appointment for symptoms consistent with COVID-19

Please contact your Avance location to make a telehealth appointment, which we recommend as it is both convenient and safe. You will also receive any special instructions you will need for your visit when calling. We also offer drive-thru and curbside testing when needed. If you do require an in-person visit, we ask that you apply a mask and sanitize your hands as soon as entering the waiting room before going to the check in desk. We may also ask you to wait in your car or exam room to reduce the spread of COVID-19.

I am not feeling well, and need to make an appointment, but don’t have symptoms of COVID-19

Please contact your Avance location to make a telehealth appointment, which we recommend since it is both convenient and safe. You will also receive any special instructions you will need for your visit when calling. 

If you do require an in-person visit, please know that we are putting all measures in place to slow the spread of COVID-19. Some of these measures include: spacing our waiting room chairs to follow social distancing recommendations, and having patients wait in their car or exam rooms when appropriate. Please always remember to follow proper hand-washing and sanitizing techniques, as well as social distancing, for your safety and the safety of those around you.

Other Questions

What are common symptoms of COVID-19 coronavirus?

According to the CDC:

Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.

The following symptoms may appear 2-14 days after exposure.*

  • Fever
  • Cough
  • Shortness of breath

*This is based on what has been seen previously as the incubation period of MERS-CoV viruses. Source: CDC.gov

Symptoms of COVID-19 compared to Flu, Allergy, & Common Cold

What should I do if I have mild cold or flu symptoms?

If you have mild illness, we recommend you stay home. Most people can treat their symptoms at home with rest and the use of over-the-counter medications to treat fever, body aches, cough, and congestion. The illness you spread to an elderly person or an individual with chronic conditions may be much more severe than the symptoms you are experiencing.

Don’t go to work if you are ill. Limit exposure to other people if you are sick. If you feel you need to see a medical provider, or are experiencing moderate-to-severe symptoms, please schedule a telehealth visit; If telehealth is not available to you, please call the office or use the secured patient portal to contact us.

If you are experiencing life threatening symptoms like worsening shortness of breath, seek medical care. Reserve calling 911 for a true emergency.

I have concern about having COVID-19. Can I get tested for COVID-19 at Avance Care?

Yes. We follow CDC guidelines regarding testing, which state:
Call your healthcare professional if you feel sick with fever, cough, or difficulty breathing, and have been in close contact with a person known to have COVID-19, or if you live in or have recently traveled from an area with ongoing spread of COVID-19.

Your medical provider will use CDC guidelines and his/her professional judgement to determine if you need to be tested for COVID-19. If tested, you will self-isolate until the test is reported as NEGATIVE. If POSITIVE, your information will be reported to your local health department.

At this time, we do not recommend testing for asymptomatic individuals who request testing for work clearance or to clear from travel-related, CDC-recommend quarantine.

If you feel you may have COVID-19, please contact your Avance Care provider through secured message or telephone and he/she will help you decide if testing is warranted.

If you have questions or concerns about COVID-19, the North Carolina Division of Public Health is the most appropriate organization to contact. They have established a call line at 1-866-462- 3821 to address general questions about coronavirus

How do I book a telehealth visit?

Book your appointment online or call your preferred Avance location. After making your appointment you’ll receive a call from Avance Care to confirm that your appointment will be telehealth, rather than in-person. You’ll be asked to sign a consent form prior to your visit.

What concerns can be addressed through telehealth?

You may now see your provider using your home computer, smartphone or tablet (with a camera and secure internet connection).

Here are a few health concerns that can be addressed during your telehealth/virtual visit:

  • Sore throat
  • Cough
  • Fever
  • Cold and flu symptoms
  • Urinary tract infection
  • Headache
  • Allergies
  • Rash & other minor skin conditions
  • Pain in back, neck, or limbs
  • Contraception
  • Chronic condition follow-ups (e.g. depression, ADD, high blood pressure and diabetes)
Is telehealth covered by insurance?

BlueCross BlueShield NC, Medicare, Aetna, Cigna, and UnitedHealthcare cover telehealth visits. Self-pay options are available. 

Provider Resources

4-1-2020: Toolkit for Independent Primary Care Providers - COVID-19

View or download our COVID-19 toolkit for providers and independent providers: Toolkit for Independent Primary Care Providers – COVID-19

Referral Resource for COVID-19 Testing

Avance Care can provide COVID-19 testing for your patients: Referral Resource for COVID-19 Testing 

[ARTICLE] COVID-19 Prompts a Shift to Telehealth

Avance Care Medical Director Dr. Joanne Fruth, MD, FAAFP gave insight into how healthcare systems like Avance Care are shifting to telehealth models in light of the novel coronavirus — and how Avance Care particularly has been ahead of the virtual health curve. COVID-19 Has Doctors Moving to Telemedicine

3-17-2020: Message to Patients - Telehealth Service Available to New and Existing Patients

BlueCross BlueShield NC, Medicare, Aetna and UnitedHealthcare cover telehealth visits. Self-pay options are available. Message to Patients: Telehealth Services Available to New and Existing Patients | COVID-19

[VIDEO] Response and Preparedness Plan for Primary Care Providers

Featuring: Avance Care Medical Director Dr. Joanne Fruth, MD, FAAFP
Presented by: Curi

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