Urgent Care

 

If you are experiencing a life-threatening emergency, dial 911

Urgent Care is for injuries or illnesses that are not life-threatening. Examples of urgent care situations include a sprained ankle, respiratory illnesses, sore throat, ear aches or a minor cut that needs stitches.

Members are covered anywhere in the world for emergency care and urgent care.

These are the steps to follow:

  • During clinic hours. If you need urgent care, call your PCP’s office. All urgent care must be preauthorized in order to be covered by the Plan.
  • After clinic hours. Even after hours, you must get authorization. Call your PCP's clinic for authorization before getting care. Your clinic’s phone system will direct you to an after-hours phone service.
  • If you are traveling. If you become ill and need urgent care (non-life threatening), call your primary care physician to have your care authorized and coordinated. If it is after hours, call your clinic’s main number to reach the after-hours service. Be sure to notify the Plan within 24 hours or within the next business day of when you receive care.
  • Payment. If you are asked to pay at the time of service, make sure to get an itemized statement from the provider. When you return to your coverage area, request from the Plan to have these expenses reimbursed.

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