If you use an ambulance or the emergency room for something that is not an emergency, you may have to pay the bill. Emergency room care is very expensive. DO NOT go to the emergency room for care that should take place in your primary care provider’s office.
Routine care for sore throats, colds, flu, back pain, and tension headaches is not considered an emergency. You can call your primary care physician’s office anytime day or night, someone will be available to advise you 24 hours a day, 7 days a week.
An emergency is a serious threat to your health. Some examples of emergencies are:
- Broken bones
- Chest pain
- Severe cuts or burns
- Loss of consciousness/blackout
- Bleeding that does not stop
- Vomiting blood
- Trouble breathing
Emergency services also include your unborn baby’s health, if you are pregnant.
Dental pain is a common condition for which members seek treatment in the Emergency Room. Serious dental problems cannot be fixed at the emergency room. We encourage members to visit their dental care provider before it becomes so serious it’s an emergency due to severe pain.
If you believe you have an emergency
- Go to the nearest emergency room, or
- Call 911
Emergency Room information for plan members