What is urgently needed care?

Q: What is urgently needed care?

Urgently needed care describes treatment for a sudden illness or injury that isn’t a medical emergency but that must be provided immediately.[efn_note]” Urgently needed care ” Medicare.gov. Accessed May 28, 2025[/efn_note]

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How are Medicare benefits changing for 2026?

Changes to 2025 Medicare coverage include a $2,000 cap on Part D out-of-pocket costs, small reductions in the average premium for Medicare Advantage and Part D plans, increases for Medicare Part B and Part A premiums and cost-sharing, and adjustments to income-related premium surcharges for Part B and Part D.

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What is Medicare? History of Medicare Medicare and the ACA

Urgently needed care describes treatment for a sudden illness or injury that isn’t a medical emergency but that must be provided immediately.¹

Does Medicare cover urgent care?

Yes, Medicare covers urgent care. If you have Original Medicare, urgent care is covered under Medicare Part B.¹ If you have a Medicare Advantage plan, the out-of-pocket costs for urgent care will depend on your plan. But Medicare Advantage plans will cover urgent care even if the urgent care facility isn’t in the plan’s network.²

service area

A service area refers to the geographical area where a person must live to be eligible to enroll in a health plan, and where the plan has in-network medical providers.

primary care provider

Your primary care provider (PCP) is the medical provider (usually a physician, physician's assistant, or nurse practitioner) who can assess a wide range of medical conditions, coordinate care with specialists, and be your first point of contact when a new medical condition arises.

urgently needed care