Emergency and Urgent Care

• Participating Urgent Care Facilities
• What is an Emergency?
• What is Urgent Care?
• Medical advice if you're not sure
• Emergency and Urgent Care Benefits

Please call the Urgent Care center you wish to visit to verify hours of operation and when they stop accepting patients for the day.

Search our directory:

Find a facilty near you. Search our Provider Directory - under Facilities see:

• Urgent Care Centers
• Hospitals

An emergency is an accident or sudden unexpected illness that needs to be treated right away or it could result in loss of life, serious medical complications or permanent disability.

Examples of emergency medical conditions include:

• heart attack or severe chest pain
• loss of consciousness
• bleeding that does not stop
• severe abdominal pain
• stroke, sudden paralysis or slurred speech
• medically necessary detoxification

In an emergency, always seek medical care immediately. Go directly to the nearest emergency facility or call 9-1-1. You and your covered family members can receive emergency medical services anywhere, 24 hours a day, even when you're away from home.

Many situations are not emergencies, but do require immediate medical attention. Urgent care is treatment you need right away for an illness or injury that is not life threatening, but you cannot wait for a doctor's office appointment.

Some conditions for which urgent care would be appropriate include:

• minor cuts or burns
• ear, nose and throat infections
• sprains or strains
• stomachaches
• headaches or dizziness

Many Urgent or Immediate care clinics open early, close late and have weekend hours. If you are in doubt of what to do, call your doctor or Providence RN for advice. They are available 24-hours a day and can direct you to the most appropriate place for care.

Call your doctor's office if you are not sure what to do. Your doctor or a doctor-on-call is always available and will tell you what to do and where to go for the most appropriate care.

Call Providence RN Medical Advice Line 24-hours a day, seven days a week. Speak to a registered nurse for advice about the most appropriate place to receive care for your medical condition.

For specific details about your emergency and urgent care coverage, refer to your member handbook and personal summary of benefits. You can register and login to access your online health plan account.

Your benefits cover emergency services in any hospital emergency room when your medical condition meets the guidelines for emergency care. Coverage includes services to stabilize an emergency medical condition and emergency medical screening exams.

You are responsible for your copayment/coinsurance at the time you receive urgent care services, unless you are admitted to a hospital within 24 hours. If you receive services from a non-participating urgent care clinic or emergency facility, you must submit a claim if the facility or provider does not submit it for you.