Serving the Triangle Metro Area in North Carolina - Same Day, Evening, Sat & Sun Appts Available
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Click on a question below to get answers to some of our most frequently asked questions. If you don’t find the answer to your specific question, you can use the Live Chat feature or contact us.

Insured Patients FAQ
Uninsured Patients FAQ

Insured Patients FAQ

Are you accepting new patients?

Yes! We would love to see you, your friends and family. Click here to request an appointment.

Does Avance Care accept most insurance plans?

Yes. Most major insurance plans are accepted. We will also file your claim for you; however, any co-pays, deductibles, or non-covered services must be paid at time of services rendered. We also accept Cash, Discover, Visa, and MasterCard.

Is Avance Care an Urgent Care Center?

No. But, with our convenient evening and weekend hours, we are an economical alternative to Urgent Care. We provide convenience of Urgent Care without the higher cost or copays!

Avance Care is a Family Medicine practice – a medical home for your family. We have board certified Family Physicians, Nurse Practitioners, and Physician Assistants that strive to provide you with a continuity of care for both your acute and chronic medical problems as well as check-ups. For your convenience, we are open 7 days a week, we have convenient walk-in hours and we perform many outpatient procedures in our office which are pre-scheduled including laceration repair, and drainage of simple skin abscess.

Urgent care centers traditionally see patients only for acute illness and injuries and are not designed to provide a medical home for families. At Avance Care, we do provide many of services found at Urgent care centers but in some instances (such as suspected fractures, major burns and other major injures) it will necessary for you to be seen at an Urgent Care or Emergency Department. Avance Care will always refer you to most appropriate facility or provider for evaluation of acute injury or illness when it is medically necessary.

Please click here to see the services we provide to you as your medical home.

What is Patient Centered Medical Home?

Who is a New Patient and who is considered as Established Patient?

A New Patient is one who has not received any professional services from any Avance Care physician within the past three years. An Established Patient is one who has received professional services from Avance Care physician within the past three years.

What type of patients and medical conditions do you see?

We see all ages of patients, from newborns to seniors. We manage a wide variety of medical conditions from chronic illnesses (such as diabetes, hypertension, thyroid disease, coronary artery disease, asthma, etc.) to acute problems (such as respiratory infections, musculoskeletal injuries, rashes, headaches, etc).

Please click here to access all of our services.

Will you refill my medications from another provider?

Yes, however prescriptions written by another provider cannot be refilled without an appointment. We will also need medical records from the prior provider and the patient must come in to see one of our physicians before a prescription is refilled. Prescriptions last written over 1 year ago also cannot be refilled without an appointment. We may not write a prescription for controlled substances (including narcotic pain medicines and stimulant ADD medicines). Please see our Policy on Controlled Substances for more information on this topic.

Do I need an appointment?

Yes and No. We have walk-in only time Mon-Fri morning and encourage you to make an appointment. In most cases, if requested before noon, we provide same day appointments.

During walk-in time, we only accept patients with illnesses that require immediate attention.

Please click here to get more details.

Do you see children?

Yes! We treat patients of all ages from newborns to seniors. Our physicians have all been trained to care for pediatric patients. In addition to treating acute medical problems in kids (such as colds, rashes, ear infections, broken bones, etc), we provide well-child care and are able administer all recommended immunizations.

Do you provide well-woman care services?

Yes. We provide a full spectrum well-woman care, including pap smears, pelvic exams and breast examinations.

Do you deliver babies?

No. We do not perform obstetrical care. If you become pregnant, we can refer you to a local obstetrician.

Can I bring my whole family here?

Yes! We love to see entire families. In fact, we believe that knowing the whole family and understanding family dynamics is invaluable to provide comprehensive care to the individual.

Do you provide School Physicals? How about Flu Shots?

Sports, camp, and daycare physicals are offered at a flat rate of $45. These visits are not billed to your insurance company.

Flu Shots are offered to all, including children over the age of 6 months. No appointment necessary.

Do you have laboratory services available?

Yes. For your convenience we have on-site laboratory. We do a variety of rapid return labs in our office, such as rapid strep throat screens and cultures, blood glucose testing, influenza testing, urinalysis, pregnancy tests, mono test, and more. Further labs and blood work are drawn on-site and are processed by Spectrum Laboratory Network. Avance Care offers a full range of diagnostic services which are described more fully here.

Why am I getting a bill from Solstas when I only went to Avance Care?

Avance Care has an in-office clinical laboratory that provides testing for some lab tests your physician will order. However, we are not able to provide many other tests. For these tests, we send the specimen to Solstas and Solstas will file your insurance. If your insurance does not pay the balance in full then Solstas will bill you for the balance due.

Do you give immunizations?

Yes. We provide all standard immunizations including: pediatric immunizations, tetanus shots, and travel vaccines.

Do you provide travel medicine services?

Hepatitis A and B, Yellow fever, typhoid, meningococcal, and tetanus. In addition, we will provide you with appropriate medications (including anti-malarial and anti-diarrheal medications as indicated). Some immunizations require 2 or more doses several months apart so please make an appointment with us as soon as you know you are going to be traveling. Click here for more information.

Do you perform skin checks and do skin biopsies?

Yes. Typically, a total body skin check is part of your comprehensive medical exam. If we detect a worrisome skin lesion or mole, we will often recommend a skin biopsy. We routinely perform these skin biopsies in our office.

Do you provide annual exams?

Yes. We do comprehensive medical exams on males and females of all ages.

Do I have to pay at time of visit?

Yes. In almost all cases, some payment is required at the visit, whether it is a deductible, a co-pay, or payment for any non-covered services.

What do the designations MD, DO, PA and NP mean?

MD, or Doctor of Medicine, is one of the physician designations (like DO) that identifies a physician who has completed medical school and appropriate advanced training. MDs complete four years of medical school and at least three additional years of residency training and then may be certified as specialists in such fields as family medicine, emergency medicine, pediatrics, orthopedics and so forth.

DO, or Doctor of Osteopathy, is fully trained in all aspects of medicine, just like an MD. DO’s receive additional training in structural medicine, and are certified as well to do manipulation. They take a holistic approach to medicine, looking at the whole patient to determine the best treatment plan. DO’s, like MD’s, complete at least three years of residency and obtain certification in all medical specialties including family medicine, emergency medicine, pediatrics, orthopedics and so forth.

PA, or Physician Assistant, is a health care professional licensed to practice medicine with physician supervision. As part of their comprehensive responsibilities, PA’s conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery and in virtually all states can write prescriptions. Within the physician-PA relationship, physician assistants exercise autonomy in medical decision making and provide a broad range of diagnostic and therapeutic services. A PA’s practice may also include education, research and administrative services.

NP, or Nurse Practitioner, designates a Registered Nurse with advanced education and training, who practices in all specialty areas to assess, diagnose, and treat patients of all ages and with all types of health needs. NPs have a minimum of a Masters Degree in Nursing and National Certification to practice in an advanced role.

Uninsured Patients FAQ

Why should Uninsured or Self-Pay patients select us?

Life is better with our affordable, professional and convenient service. We are board certified physicians, nurse practitioners, physician assistants, and your neighbors.

  • We understand the need of cost-effective medical care with cost transparency. Our healthcare providers will work with you to make your visit as cost effective as possible. We also publish our fee schedule so you can make an informed decision.
  • We understand that a higher cost can be incurred if acute and chronic medical care is delayed or if preventive medical care is skipped. That is why we make it easy to obtain care – we are affordable, we are convenient, and we take the complexity out of your decision making when seeking medical care.
  • We understand that lower cost should not mean lower quality of care. That is why all our services include onsite consultation with one of our medical providers for personalized care. We employ state of the art technology to make delivery of medical care efficient.
  • We have negotiated discounted lab charges with a outside lab for the most common lab tests. We pass on this savings to you.
  • At no charge, we have 25 commonly prescribed generic medications that can be dispensed for initial therapy when prescribed during your visit by one of our medical providers.

In addition, our services are available 7 days a week, evenings and weekends. We are not an Urgent Care, but Primary Care with Urgent Care convenience!

Who is a Self-Pay patient? What is Prompt-Pay discount?

A Self-Pay patient is either uninsured or has an insurance plan we are not in-network with.

Self-Pay Patients pay in full at the time of visit for our services and we are not required to file claim or submit any documentation on his/her behalf to a third party.

Prompt-Pay discount is provided to Self-Pay patient when payment is made in full at the time of visit for our services.

What will be cost of my visit?

For common illness, allergies, and minor injuries, your visit cost starts at $85. Total cost of the visit depends upon problem severity and if diagnostic tests are ordered. Typical cost for such visits often fall in the range of $85 to $120.

Our healthcare providers understand the need to reduce your out-of-pocket expenses and will work with you to make your visit cost-effective.

For disease management consultations (such as hypertension, diabetes, high cholesterol, hypothyroidism, asthma, etc.), the visit cost starts at $85 and the total cost of the visit depends upon problem severity and the complexity of the medical condition(s). Typical cost for such visits often fall in the range of $85 to $110.

Our Comprehensive Physical Evaluation (Annual Physical, Well Child Exam) and Wellness Screening Packages are priced at a highly competitive rate, especially when you factor in the included medical provider consultation and convenience of our services.

How can I further reduce out-of-pocket cost for my Primary Care Services?

Avance Care offers cost-effective primary care services package of preventive care, acute care, and on-going chronic disease management.

Will I be eligible for the discount if I have High Deductible Health Plan (HDHP) or Health Savings Account (HSA)?

Yes and No.

Yes, if you do not require us to file a claim to your insurance plan and you pay in full at the time of your visit for our services. You are then considered a “Self-Pay” patient and you are eligible for prompt-pay discount. We will provide you with a super-bill (itemized charges for our services) at check out, which you can use to submit a claim to your insurance carrier or justify funds drawn from HSA account.

No, if you require us to file a claim to your insurance plan (in which we participate). In such case, our insurance contracted negotiated rates apply and the prompt-pay discount does not apply. We will still collect estimated charges for the visit and settle the charges upon insurance claim processing.

Is Avance Care an Urgent Care Center?

No. But, with our daily walk-in hours, including on weekends, we are an economical alternative to Urgent Care. We provide convenience of Urgent Care without the higher cost of Urgent Care!

Avance Care is a Family Medicine practice – a medical home for your family. We have board certified Family Physicians, Nurse Practitioners, and Physician Assistants that strive to provide you with a continuity of care for both your acute and chronic medical problems as well as check-ups. For your convenience, we are open 7 days a week, we have convenient walk-in hours and we perform many outpatient procedures in our office which are pre-scheduled including laceration repair, and drainage of simple skin abscess.

Urgent care centers traditionally see patients only for acute illness and injuries and are not designed to provide a medical home for families. At Avance Care, we do provide many of services found at Urgent care centers but in some instances (such as suspected fractures, major burns and other major injures) it will necessary for you to be seen at an Urgent Care or Emergency Department. Avance Care will always refer you to most appropriate facility or provider for evaluation of acute injury or illness when it is medically necessary.

Please click here to see the services we provide to you as your medical home.

Are you accepting new patients?

Yes! We would love to see you, your friends and family. Click here to request an appointment.

What type of patients and medical conditions do you see?

We see all ages of patients, from newborns to seniors. We manage a wide variety of medical conditions from chronic illnesses (such as diabetes, hypertension, thyroid disease, coronary artery disease, asthma, etc.) to acute problems (such as respiratory infections, musculoskeletal injuries, rashes, headaches, etc).

Please click here to access all of our services.

Do you provide preventive care / wellness screening services?

Yes we do. And at a very competitive price too!

If you are only interested in having a physical or a wellness screening performed, we offer:

  • Wellness Screening customized for both adult men and adult women
  • Complete Physical Examination (Annual Physical)
  • Well Child Examinations for ages 17 years and below.

Please click here to get more details.

What is difference between Annual Physical and Wellness Screening Package?

Annual Physical is a Comprehensive Physical Examination many people get each year. It includes a complete review of your medical history and medications, an individualized review of your medical risk factors, and a comprehensive physical exam all done by one of our medical providers. Unlike the Wellness Screening Package, it also includes a review of your immunization history and the provider will also provide you with lifestyle counseling (tobacco cessation, alcohol/drug use, STD prevention, contraception, depression, diet and exercise, etc). The Annual Physical cost does not include any lab tests. The lab tests can be added at an additional cost.

Our Wellness Screening Packages are designed to be as efficient and cost effective as possible. It includes basic screening lab work, a brief review of the lab results, and a routine physical exam. It is not intended to replace the Comprehensive Physical Exam and we do request that if patients are able that they elect to have Comprehensive Physical Examination performed. If you are a healthy individual with no medication problems, the Wellness Screening Packages could be an option for you.

Please click here to get more details.

Do I need an appointment?

Yes and No. We have walk-in only hours and encourage you to make an appointment outside the walk-in only hours. In most cases, if requested before noon, we provide same day appointments.

During walk-in hours, we only accept patients with illnesses that require immediate attention.

Please click here to get more details.

Do you have laboratory services available?

Yes. For your convenience we have on-site laboratory. We do a variety of rapid return labs in our office, such as rapid strep throat screens and cultures, blood glucose testing, influenza testing, urinalysis, pregnancy tests, mono test, and more. Further labs and blood work are drawn on-site and are processed by Spectrum Laboratory Network. Avance Care offers a full range of diagnostic services which are described more fully here.

We have negotiated discounted lab charges for most commonly ordered lab tests with Spectrum Lab. We pass on the savings to you.

Why am I getting a bill from Spectrum, since I only went to Avance Care?

For Self-Pay patients, we attempt to collect charges associated with your labs at the time of service. Please contact our billing department if you receive a bill from Spectrum.

Do you see children?

Yes! We treat patients of all ages from newborns to seniors. Our physicians have all been trained to care for pediatric patients. In addition to treating acute medical problems in kids (such as colds, rashes, ear infections, broken bones, etc), we provide well-child care and are able administer all recommended immunizations.

Do you provide well-woman care services?

Yes. We provide a full spectrum well-woman care, including pap smears, pelvic exams and breast examinations.

Do you deliver babies?

No. We do not perform obstetrical care. If you become pregnant, we can refer you to a local obstetrician.

Can I bring my whole family here?

Yes! We love to see entire families. In fact, we believe that knowing the whole family and understanding family dynamics is invaluable to provide comprehensive care to the individual.

Do you provide School Physicals? How about Flu Shots?

Sports, camp, and daycare physicals are offered at a flat rate of $45. These visits are not billed to your insurance company.

Flu Shots are offered to all, including children over the age of 6 months. No appointment necessary.

Do you give immunizations?

Yes. We provide all standard immunizations including: pediatric immunizations, tetanus shots, and travel vaccines.

Do you provide travel medicine services?

Yes. We provide travel vaccines based on CDC recommendations. These include immunizations like Hepatitis A and B, Yellow fever, typhoid, meningococcal, and tetanus. In addition, we will provide you with appropriate medications (including anti-malarial and anti-diarrheal medications as indicated). Some immunizations require 2 or more doses several months apart so please make an appointment with us as soon as you know you are going to be traveling. Click here for more information.

Do you perform skin checks and do skin biopsies?

Yes. Typically, a total body skin check is part of your comprehensive medical exam. If we detect a worrisome skin lesion or mole, we will often recommend a skin biopsy. We routinely perform these skin biopsies in our office.

Do you provide annual exams?

Yes. We do comprehensive medical exams on males and females of all ages.

Do I have to pay at time of visit?

Yes. In almost all cases, some payment is required at the visit, whether it is a deductible, a co-pay, or payment for any non-covered services.

What do the designations PA, MD, DO and FNP mean?

PA, or Physician Assistant, is a health care professional licensed to practice medicine with physician supervision. As part of their comprehensive responsibilities, PA’s conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery and in virtually all states can write prescriptions. Within the physician-PA relationship, physician assistants exercise autonomy in medical decision making and provide a broad range of diagnostic and therapeutic services. A PA’s practice may also include education, research and administrative services.

MD, or Doctor of Medicine, is one of the physician designations (like DO) that identifies a physician who has completed medical school and appropriate advanced training. MDs complete four years of medical school and at least three additional years of residency training and then may be certified as specialists in such fields as family medicine, emergency medicine, pediatrics, orthopedics and so forth.

DO, or Doctor of Osteopathy, is fully trained in all aspects of medicine, just like an MD. DO’s receive additional training in structural medicine, and are certified as well to do manipulation. They take a holistic approach to medicine, looking at the whole patient to determine the best treatment plan. DO’s, like MD’s, complete at least three years of residency and obtain certification in all medical specialties including family medicine, emergency medicine, pediatrics, orthopedics and so forth.

FNP, or Family Nurse Practitioner, designates a Registered Nurse with advanced education and training, who practices in all specialty areas to assess, diagnose, and treat patients of all ages and with all types of health needs. FNPs have a minimum of a Masters Degree in Nursing and National Certification to practice in an advanced role.