Get the care you need, when you need it
Know where to go
Your health care needs don’t always follow a schedule. Learn where to go when you or your family needs care, no matter what time or day it is.
When you’re sick or hurt, always call your primary care provider (PCP) first (unless it’s an emergency). Even if you call after hours, someone from the office should be on call and able to help.
Your PCP is listed on your member ID card and in your online profile.
He or she will:
- Get to know you and your health history.
- Work with you to find specialists and medicines when needed.
If you haven’t seen your PCP before, call and make a new patient appointment as soon as you can. It’s a good idea to see your doctor when you’re well, so he or she can better treat you when you aren’t.
Change your PCP anytime
1. Find a PCP in your plan with our Find a Doctor search tool.
2. To change your PCP, use our online tool or call the Customer Care Center at 1-800-782-0095 (TTY 1-866-368-1634).
24-hour nurse help line
Health issues can come up when you least expect them. Our toll-free 24-hour nurse help line lets you talk with a registered nurse whenever you have health questions or need medical advice — day or night, holidays and weekends.
1-888-850-1108 (TTY 1-800-368-4424)
Our nurses are here to:
- Advise you on where to go when you need care.
- Help you with any health questions you have.
- Find a doctor after hours or on weekends.
An urgent medical condition is when care is needed for a sudden illness, injury or condition that is not an emergency but needs to be treated right away.
You may need urgent care if you have:
- Minor burns.
- A very sore throat.
- An injury from a fall.
- Frequent vomiting.
- A cut that’s deep enough to need stitches.
- A fever over 101 degrees Fahrenheit.
- Muscle sprains or strains.
If you need urgent care
- During normal clinic hours, call your primary care provider (PCP). Their number is listed in your online profile.
- After hours and on weekends, visit an urgent care center.
Emergencies are times when there could be serious danger or damage to your health if you don’t get medical care right away. If you need emergency care, call 911 or go to the nearest hospital emergency room (ER). Preapprovals are not needed for emergency care.
Go to the ER if you:
- Have chest pains.
- Have trouble breathing.
- Are bleeding badly.
- Are pregnant and have signs of harm to yourself or your baby like pain, bleeding, fever or vomiting.
- Feel like you might hurt yourself or someone else.
After an ER or urgent care visit
Call your PCP as soon as you can after you visit the ER or urgent care center. Your PCP can help with your follow-up care. Their number is listed in your online profile.
Not sure if it’s an emergency?
Call our 24-hour nurse help line at 1-888-850-1108 (TTY 1-800-368-4424). Our nurses can tell you whether you need emergency care or help you find an urgent care center.