Is Sunshine Urgent Care on US 98 in My Network?

Sunshine Urgent Care sits on US 98 S in Lakeland. Check this walk-in clinic and review urgent-care versus ER copays.

Short answer: check the clinic in your plan before you walk in

Sunshine Urgent Care is at 3305 US Highway 98 (Bartow Road) in Lakeland. It's a walk-in clinic; call ahead with your plan ID to confirm coverage.

Medicare Open Enrollment runs October 15 to December 7 (plan must get the request by December 7). The Medicare Advantage Open Enrollment Period runs January 1 to March 31 for people already in a Medicare Advantage plan.

Does Medicare cover urgent care at this clinic?

Medicare Part B covers urgently needed care. After the Part B deductible, you pay 20% of the Medicare-approved amount for the provider's services. Medicare Advantage plans set their own urgent care copays and networks, so check the plan's directory.

HealthCare.gov: HMOs usually limit coverage to network doctors and generally don't cover out-of-network care except in an emergency; EPOs cover services only in network except emergencies; POS plans require a PCP referral to see a specialist; PPOs let you use out-of-network providers without a referral for an additional cost.

Does urgent care cost the same as the ER under my plan?

Not necessarily. Plans set separate cost-sharing for urgent care and emergency room visits, and both amounts are listed in your plan's Summary of Benefits and Coverage. For a medical emergency, call 911 or go to the nearest emergency room.

Medicare.gov tells shoppers to ask their doctors and pharmacies whether they are in network with the plan they are considering.

What should I bring to an urgent care visit?

Your insurance card and photo ID, a medication list, and your plan's urgent care copay from its Summary of Benefits and Coverage.

Network status can differ by plan; check the plan's provider directory before enrolling. Use the exact plan ID and coverage year, then call the facility billing office and write down the date and the person you spoke with.

Use what an ER visit costs in Lakeland, check your doctors and prescriptions to gather names, locations, and prescriptions before you compare plans.

Medicare: urgent care under Part B and Medicare Advantage

Medicare marketing on this site is for Florida residents. Confirm hospital, doctor, and pharmacy participation with the plan and the office. Original Medicare and Medicare Advantage follow different network rules.

What to verify before you enroll

• Search Sunshine Urgent Care and each doctor by name and location in the plan directory
• Confirm the exact plan ID and year with the billing office
• Check prescriptions and pharmacy separately from the facility listing
• Read urgent-care versus emergency-room cost sharing in the Summary of Benefits

Additional verified details

Opened in November 2015 (LkldNow).

HealthCare.gov (Florida uses it): Open Enrollment starts November 1; enroll by December 15 for January 1 coverage; Open Enrollment ends January 15, with February 1 coverage for December 16 to January 15 enrollments.

Nearby facilities

• What Should I Check Before MD Now Urgent Care Lakeland?
• Does BayCare Urgent Care South Lakeland Take My Insurance?
• Does Concentra Lakeland Bill Insurance or Workers' Comp?

Local coverage pages

• Lakeland coverage help

Related coverage questions

• what an ER visit costs in Lakeland
• how to keep your doctor when you change plans
• HMO vs EPO vs PPO
• deductible vs. out-of-pocket maximum

Common questions

Is Sunshine Urgent Care on US 98 in My Network?

It depends on your plan. Look up Sunshine Urgent Care in your plan's provider directory using your plan ID, and call the clinic before you go. Your plan sets urgent care cost-sharing separately from emergency room cost-sharing. Confirm the exact plan ID and coverage year before you rely on a directory listing.

Does urgent care cost the same as the ER under my plan?

Not necessarily. Plans set separate cost-sharing for urgent care and emergency room visits, and both amounts are listed in your plan's Summary of Benefits and Coverage. For a medical emergency, call 911 or go to the nearest emergency room.

Where is Sunshine Urgent Care in Lakeland?

Sunshine Urgent Care is at 3305 US Highway 98 (Bartow Road) in Lakeland. It's a walk-in clinic; call ahead with your plan ID to confirm coverage.

Does Medicare cover urgent care at Sunshine Urgent Care?

Medicare Part B covers urgently needed care. After the Part B deductible, you pay 20% of the Medicare-approved amount for the provider's services. Medicare Advantage plans set their own urgent care copays and networks, so check the plan's directory.

What to do next

David Huff, a licensed Florida health agent, can review Polk County doctors, facilities, and prescriptions against a specific Marketplace or Florida Medicare plan ID. He does not decide facility billing. Signing up for Medicare Part A and Part B is done through Social Security, and a plan review is not an enrollment. Call (863) 640-3102 or use Get Help.

• Provider and prescription check
• Lakeland Marketplace help
• Medicare help for Florida residents

Sources

This page is educational. It does not say whether a facility or doctor participates with a specific plan. Confirm the plan directory and the billing office before you enroll or switch.

Lakeland Health Insurance is not connected with or endorsed by the U.S. government or the federal Medicare program.